| NPI | 1043776578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALADDIN OSSORIO Principal 617-918-7195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |