| NPI | 1871943514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURVI SHAH VANDERPLOEG C0 Owner Clinical Psychologist 516-205-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002878) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |