NPI | 1659506228 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY ALAN HAYES President 781-837-5344 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 3821) |
Additional Taxonomies | 103T00000X Psychologist |
103TC0700X Psychologist, Clinical | |
Enumeration Date | 2009-05-26 |
Last Update Date | 2025-02-07 |