| Quetzalli Zephyr, Inc. | |
|
126 Harvard St Fl 3 Brookline MA 02446-6426 | |
| (617) 388-9306 | |
| Not Available |
| Full Name | Quetzalli Zephyr, Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 126 Harvard St Fl 3, Brookline, Massachusetts |
| Authorized Official Name and Position | Jessica Boyatt (OWNER/PRESIDENT) |
| Authorized Official Contact | 6173889306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quetzalli Zephyr, Inc. 3 Traymore St Cambridge MA 02140-2213 Ph: (617) 388-9306 | Quetzalli Zephyr, Inc. 126 Harvard St Fl 3 Brookline MA 02446-6426 Ph: (617) 388-9306 |
| NPI Number | 1104570019 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104570019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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