| Organization Name: | ADVANCED NEUROTHERAPY, PC |
| NPI Number: | 1104846476 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOLENE ROSS (LICENSED PSYCHOLOGIST/DIRECTOR) |
| Mailing Address: | 145 Rosemary St Entry J Needham |
| State: | MA US |
| Postal Code: | 024943238 |
| Phone Number: | 7814449115 |
| Fax Number: | 7814449134 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 09/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 3976 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |