| NPI | 1427350800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H SUZANNE MOON Clinical Psychologist 781-812-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 7771) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2011-01-19 |