NPI | 1902891567 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT L WING Owner President 413-568-0850 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 3254) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2008-01-10 |