| NPI | 1922245752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE STASIOR Practice Manager, Neuropsychologist 781-861-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 2178) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |