| 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 |