| NPI | 1881947745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA L BRYANT Sole Member 207-594-2952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: ME PS1009) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |