Organization
BOSTON FORENSIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J MENDOZA PSYD (PARTNER)
(781) 326-0200
Entity
Organization
Contact information
Practice address
339 WASHINGTON ST, STE 203, DEDHAM, MA 02026-1870
(781) 326-0200
Mailing address
339 WASHINGTON ST, STE 203, DEDHAM, MA 02026-1870
(781) 326-0200
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/21/2007
Last updated
08/02/2007
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