| NPI | 1962857177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MULLEN Clinical Psychologist 413-834-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 8231) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |