Organization
CENTER FOR COGNITIVE WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALISSA L KRAFT PSYD (PRESIDENT)
(617) 913-9030
Entity
Organization
Contact information
Practice address
15 NEW ENGLAND EXECUTIVE PARK, BURLINGTON, MA 01803-5202
(617) 913-9030
Mailing address
37 STACEY CIR, WINDHAM, NH 03087-1648
(617) 913-9030
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
8932
MA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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