NPI | 1952585911 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY A. TAYLOR Sole Porprietor 617-855-3209 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 508) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2007-12-26 |