| NPI | 1932561222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA DALTON TAYLOR Clinical Psychologist 860-751-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003176) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |