NPI | 1992057772 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN CAMIZZI President 203-535-0318 |
Organization Subpart ? | No |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: CT 001265) |
Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: CT 001265) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 001265) | |
Enumeration Date | 2012-10-04 |
Last Update Date | 2013-02-05 |