| NPI | 1396583043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA KACZOR Owner 781-654-8862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2026-01-16 |