| NPI | 1841587870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GALLAGHER Administrator 401-624-7281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: RI 1016742) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |