| NPI | 1770732729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L. IMBER Clinical Neuropsychologist 617-487-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |