| 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 |