| NPI | 1487708632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE LISE ROYER Clinical Psychologist 781-224-2820 |
| Organization Subpart ? | |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 4876) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-12-28 |