| NPI | 1750589453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ROTHENBERG President 617-274-8734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 3229) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2023-10-26 |