| NPI | 1619042496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL I CLIONSKY President Director 413-734-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |