| NPI | 1447395694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA EVELYN MCQUINN Practice Director 508-238-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 6202) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |