| NPI | 1336528561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN GOEBEL-FABBRI Psychologst 617-513-9327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 7583) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |