| NPI | 1588709125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J MENDOZA Partner 781-326-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TF0200X Psychologist, Forensic | |
| 103TR0400X Psychologist, Rehabilitation | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-08-02 |