| NPI | 1932466547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL R. BROCKETT Owner 203-264-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 001851) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-09-17 |