NPI | 1619345345 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH C. MARSHALL Director 413-445-9944 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 7350) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 8844) |
Enumeration Date | 2015-09-11 |
Last Update Date | 2023-10-26 |