| NPI | 1992999767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY FRAZIER PELLETIER Pediatric Neuropsychology 860-388-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 2736) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2015-04-06 |