| NPI | 1871873679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A VERMILYEA Ph.D/Clinical Psychologist 339-224-7695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2023-12-04 |