| NPI | 1710439617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN DANIEL DOTY Licensed Psychologist & Co Director 617-539-6762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA PY9369) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-11-07 |