| NPI | 1083745582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ROBERTS STOLER Dr 978-352-8269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 2229) |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports (Licence: MA 2229) |
| 103TH0100X Psychologist, Health Service (Licence: MA 2229) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: MA 2229) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-12-26 |