| NPI | 1164662219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE R STOLER CEO 978-352-6349 |
| 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) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |