Organization
BRAIN ANALYSIS & NEURODEVELOPMENT CENTER, LLC
Active
Other names
Concussion Center of Massachusetts
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DAVIS PSYD (EXECUTIVE DIRECTOR)
(413) 203-6600
Entity
Organization
Contact information
Practice address
195 RUSSELL ST, SUITE B-13, HADLEY, MA 01035-9515
(413) 203-6600
(866) 651-1899
Mailing address
195 RUSSELL ST, SUITE B-13, HADLEY, MA 01035-9515
(413) 203-6600
(866) 651-1899
Taxonomy
Speciality
Code
Description
License number
State
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
7324
MA
Other
Enumeration date
04/09/2016
Last updated
01/10/2017
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