NPI | 1073987061 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER A. LAMORA President 603-582-8075 |
Organization Subpart ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 3453) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 3453) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 3453) | |
Enumeration Date | 2015-11-14 |
Last Update Date | 2015-11-14 |