Provider Demographics
NPI:1477170256
Name:BOSTON METRO NEUROPSYCHOLOGY
Entity Type:Organization
Organization Name:BOSTON METRO NEUROPSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:WERSHBA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:781-347-2165
Mailing Address - Street 1:1900 W PARK DR STE 280
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-3919
Mailing Address - Country:US
Mailing Address - Phone:781-342-0056
Mailing Address - Fax:781-205-1694
Practice Address - Street 1:1900 WEST PARK DRIVE
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581
Practice Address - Country:US
Practice Address - Phone:781-347-2165
Practice Address - Fax:781-205-1694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1851702245OtherNPI