| NPI | 1104570019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BOYATT Owner/President 617-388-9306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |