| 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 |