| 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 |