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 |