| NPI | 1588866412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD EDWARD LONGPRE President 978-462-8160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 3405) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2009-01-26 |