NPI | 1184758211 |
---|---|
Doing Business As | BOSTON PSYCHOLOGICAL ASSOICATES |
Entity Type | Organization |
Authorized Contact | TED HERON Manager 978-922-2046 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 2347) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 2347) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-22 |