| NPI | 1992865638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD JENNINGS Director 516-317-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 849) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-07-08 |