| NPI | 1013212935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA R. MARKS Owner/ Director 978-646-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TH0100X Psychologist, Health Service | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |