Provider First Line Business Practice Location Address:
7 ESSEX GREEN DR., SUITE 63
Provider Second Line Business Practice Location Address:
NORTH SHORE NEUROPSYCHOLOGICAL SERVICES, LLC
Provider Business Practice Location Address City Name:
PEABODY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01960-2961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
857-383-0651
Provider Business Practice Location Address Fax Number:
781-990-3722
Provider Enumeration Date:
08/27/2012