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PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC

Clinical Neuropsychologist

Southbury, Connecticut

Provider NPI: 1730227745

Organization Information:
Organization Name:  PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC
Organization is not Subpart
Authorized Official:  RICHARD H GRAYSON  DIRECTOR  203-2624482

Practice Location:
7 GARAGE RD UNIT D SOUTHBURY, CT 06488 US
Tel: 203-262-4482  Fax: --

Business Mailing Address:
7 GARAGE RD UNIT D SOUTHBURY, CT 06488 US
Tel: 203-262-4482  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NY015711-1
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CT002567









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