NPI | 1710278205 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA COCHRAN Psychologist 508-246-7618 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9934) |
Enumeration Date | 2011-05-02 |
Last Update Date | 2016-12-19 |