| NPI | 1558579623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI KATZ Psychologist Manager 413-584-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 6192) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1019476) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 2556) | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2020-08-22 |