| NPI | 1992241780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ANN DEMARCO Clinical Psychologist 860-581-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002381) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |