| NPI | 1942208814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PHILLIP TEPLEY Member/Owner 203-855-9691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 002279) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 001410) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2024-04-03 |