| NPI | 1750772075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY PAUL BARLOW Managing Member 607-481-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018932) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |