| NPI | 1225062458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA KING Billing Manager 781-828-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 573829) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 6583) |
| 104100000X Social Worker (Licence: MA 1021865) | |
| 104100000X Social Worker (Licence: MA 1023877) | |
| 104100000X Social Worker (Licence: MA 110270) | |
| 104100000X Social Worker (Licence: MA 111432) | |
| 104100000X Social Worker (Licence: MA 110617) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 57414) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 154124) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 149491) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-01-31 |