| NPI | 1710267125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MCMURRICH Psychologist 617-872-2527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 9070) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |