| NPI | 1053180117 |
|---|---|
| Other Name | PARK WEST PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | DANIEL CLARK Owner/Clinical Psychologist 617-249-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |