| NPI | 1902329667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANNE FREDERICK Owner, Psychologist 917-402-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2018-03-22 |