| NPI | 1760061659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ASHLEY MARSHALL President/Owner 617-977-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 104100000X Social Worker | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-06-05 |