| NPI | 1861866139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA HIGGINS Office Manager 860-326-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 041692) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2022-05-25 |