| NPI | 1093855140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN CHARLES BONSIGNORE-BERRY Clinical Psychologist Co Owner 508-584-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 6229) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 105991) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-08-13 |