NPI: 1982838751 · BOSTON, MA 02118 · Clinical Child & Adolescent Psychologist · NPI assigned 05/08/2009
| Authorized Official | CLONTZ, MICHAEL (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 05/08/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 64 | $5K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes with patient | 64 | 29 | $5K |