| NPI | 1982971941 |
|---|---|
| Doing Business As | NORTH COUNTRY REGIONAL TBI CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWIN SIMPSON Director Of Sponsored Research 518-564-2155 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 013297) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 013297) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |