| NPI | 1528382850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN SULLIVAN HANSON Clinical Psychologist 978-209-9391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 6389) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 6390) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 6390) | |
| 103TF0000X Psychologist, Family (Licence: MA 6389) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MA 6390) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2025-05-29 |