| NPI | 1821200213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MAYER Psychologist 203-247-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 007625-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 001997) |
| 103TF0000X Psychologist, Family (Licence: NY 007625-1) | |
| 103TF0000X Psychologist, Family (Licence: CT 001997) | |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |