| NPI | 1841563558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW R BERKEY Office Manager 781-647-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 70333) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6577) |
| 104100000X Social Worker (Licence: MA 114896 (LICSW)) | |
| 104100000X Social Worker (Licence: MA 116604 (LICSW)) | |
| 104100000X Social Worker (Licence: MA 217495 (LCSW)) | |
| 133V00000X Dietitian, Registered (Licence: MA 2793 (RD)) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN238050) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN258504) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN163877) | |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |