National Provider Identifier Database

ADVANCED NEUROTHERAPY PC
Cognitive & Behavioral

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.


Contact Information

ADVANCED NEUROTHERAPY, PC
140 BRISTOL RD
WELLESLEY, MA02481-2730
Phone: 781-444-9115
Fax:
Website:
Specialty Taxonomy Code
* Cognitive & Behavioral 103TB0200X

* Indicates primary specialty

NPI Profile & details for ADVANCED NEUROTHERAPY, PC

NPI Number 1104846476
Legal business name
LBN
ADVANCED NEUROTHERAPY, PC
Authorized official JOLENE ROSS - (LICENSED PSYCHOLOGIST/DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/20/2006
Last updated 06/15/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 3976
  • MA Other: W03950 BCBS PROVIDER #
  • MA Other: W03950 NATIONAL HERITAGE
  • MA Other: 722869 TUFTS COMMERCIAL

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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