NPI | 1992216790 |
---|---|
Other Name | BRAIN SERVICES |
Entity Type | Organization |
Authorized Contact | MICHELLE ANN BRISMAN Neuropsychologist 860-707-2775 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 002344) |
Enumeration Date | 2017-10-19 |
Last Update Date | 2017-10-19 |