NPI | 1750749149 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL CASSELLA President 978-393-1925 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9751) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MA 9751) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 9751) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: MA 9751) | |
Enumeration Date | 2016-02-01 |
Last Update Date | 2016-05-31 |