| NPI | 1285313015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE ALISON MOYNIHAN KYDES Clinical Psychologist 617-302-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |