NPI | 1871178558 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN C MARTIN Licensed Psychologist / Owner 646-893-7155 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2021-03-14 |
Last Update Date | 2021-03-14 |