NPI | 1790230209 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN MICHAEL O'SHEA Sole Proprietor/Owner 860-759-0664 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003064) |
Enumeration Date | 2016-08-25 |
Last Update Date | 2023-06-19 |