| NPI | 1972889871 |
|---|---|
| Doing Business As | THERAPY AT THE SQUARE |
| Entity Type | Organization |
| Authorized Contact | SARA MARKESE Director 917-545-8298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: VA 0810004199) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |