| NPI | 1114979580 |
|---|---|
| Doing Business As | MCLEAN PROFESSIONAL PRACTICE GROUP |
| Entity Type | Organization |
| Authorized Contact | JOSEPH GOLD Chief Medical Officer 617-855-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-10-27 |