| NPI | 1659477446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY N COHEN President 508-362-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 006666) |
| Additional Taxonomies | 261QM0801X (Licence: MA 006666) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |