| NPI | 1003963091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL CASTRO Co Director 617-641-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |