| 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 |