| NPI | 1780052944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILES TARTER President 617-877-5978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 8703) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |