| NPI | 1316811417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JONAH TAYTSLIN Owner/Clinical Psychologist 508-233-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |