NPI | 1760710313 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN LATHROP Psychologist 860-920-5101 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002695) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 002695) |
Enumeration Date | 2009-11-19 |
Last Update Date | 2009-11-19 |