| NPI | 1992025506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M CARMODY-KACZOR CEO 781-556-5662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 6175) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 6175) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2012-07-30 |