| NPI | 1760538284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LIPMAN LEONARD Owner 781-788-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 7669) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 7669) |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: MA 7669) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |