NPI | 1164662375 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN H. HECKLER Owner 978-851-4251 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 2483) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 6616) |
103T00000X Psychologist (Licence: NH 1000) | |
103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: MA 2483) | |
103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: NH 1000) | |
103TB0200X Psychologist Cognitive & Behavioral (Licence: MA 2483) | |
103TB0200X Psychologist Cognitive & Behavioral (Licence: NH 1000) | |
103TC0700X Psychologist Clinical (Licence: NH 1000) | |
103TC0700X Psychologist Clinical (Licence: CA 6616) | |
103TC1900X Psychologist Counseling (Licence: MA 2483) | |
103TC1900X Psychologist Counseling (Licence: NH 1000) | |
103TC1900X Psychologist Counseling (Licence: CA 6616) | |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: MA 2483) | |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: NH 1000) | |
103TC0700X Psychologist Clinical (Licence: MA 2483) | |
Enumeration Date | 2009-02-27 |
Last Update Date | 2009-02-27 |