| NPI | 1659495687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY C. BETTIS Psychologist 413-653-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 1857) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |