| NPI | 1992809016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN JOSEPH MARRAZO Psychologist/Owner 518-785-3614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 4777) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 165902) |
| 1041C0700X Social Worker, Clinical (Licence: NY PR004365-1) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |