| NPI | 1902522972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI ANN LINDEN Phd/Psychology 518-218-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |