| NPI | 1669721528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MORTON Clinical Neuropsychologist 617-764-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 8534) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |