| NPI | 1740807528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN CENTI Neuropsychologist/Owner 617-863-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |