CENTER FOR COGNITIVE WELLNESS PC NPI 1174823074

NPI Information

  • NPI: 1174823074
  • Provider Name: CENTER FOR COGNITIVE WELLNESS PC
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Address: 15 NEW ENGLAND EXECUTIVE PARK
    BURLINGTON, MA
    ZIP 01803
  • Phone: (617) 913-9030

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NPI Details

CENTER FOR COGNITIVE WELLNESS PC is a clinical neuropsychologist in Burlington, MA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. CENTER FOR COGNITIVE WELLNESS PC NPI is 1174823074. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15 NEW ENGLAND EXECUTIVE PARK
BURLINGTON, MA
ZIP 01803-202
Phone: (617) 913-9030

The provider's authorized official is Malissa L Kraft .
The authorized official title is President and has the following contact phone number (617) 913-9030.

The enumeration date for this NPI number is 10/25/2010 and was last updated on 10/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical Neuropsychologist8932MASSACHUSETTSYes

What is NPI?

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This page was last updated on: 3/30/2025

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