Organization
UNIVERSITY NEUROPSYCHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILES TARTER PSY.D. (PRESIDENT)
(617) 877-5978
Entity
Organization
Contact information
Practice address
364 HARVARD ST, SUITE 1, BROOKLINE, MA 02446-2920
(617) 877-5978
Mailing address
491 DUTTON ST, #304, LOWELL, MA 01854-4289
(617) 877-5978
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
8703
MA
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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