| 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 |