| NPI | 1477133411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE MELISSA SEIDEL Neuropsychologist, Owner 781-486-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |