| NPI | 1588006761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA MARION Psychologist/Manager 617-564-3756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 9503) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |