| NPI | 1063432417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK DAVIS Dept Administrator 617-355-6374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 208000000X Pediatrics | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-05-23 |