| NPI | 1891231916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA KAY PHELPS Licensed Psychologist 585-256-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 013289) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |