Organization
BAYSTATE PEDIATRIC NEUROPSYCHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN E KILEY-BRABECK PHD (OWNER, LICENSED PSYCHOLOGIST)
(978) 276-4041
Entity
Organization
Contact information
Practice address
352 PARK ST STE 208, NORTH READING, MA 01864-2158
(978) 276-4041
(978) 207-1007
Mailing address
352 PARK ST STE 208, NORTH READING, MA 01864-2158
(978) 276-4041
(978) 207-1007
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124214309
PERSONAL NPI
MA
Enumeration date
09/08/2021
Last updated
09/08/2021
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