Organization
PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC
Active
Organization
PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD H GRAYSON PH.D. (DIRECTOR)
(203) 262-4482
Entity
Organization
Contact information
Practice address
7 GARAGE RD, UNIT D, SOUTHBURY, CT 06488-3884
(203) 262-4482
Mailing address
7 GARAGE RD, UNIT D, SOUTHBURY, CT 06488-3884
(203) 262-4482
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
002567
CT
103G00000X
Clinical Neuropsychologist
015711-1
NY
Other
Enumeration date
02/02/2007
Last updated
02/28/2013
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