| NPI | 1942398953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA PIATT Owner 617-424-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |