NPI | 1982747812 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA LEIPHART Psychologist/Owner 203-929-4774 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002605) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CT 002605) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2010-05-05 |