| NPI | 1578162798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA D STONE Owner 781-281-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |