NPI | 1548775190 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE GAMBLE Partner 617-777-1270 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 7942) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113492) |
Enumeration Date | 2017-12-05 |
Last Update Date | 2017-12-05 |