| NPI | 1447636352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE MERRILL KELLY Clinical Psychologist 781-224-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9422) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |