Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 103K00000X | Behavior Analyst | ||
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist | ||
N | 103TH0100X | Health Service | ||
N | 103TS0200X | School Psychologist |
NPI | 1063827145 |
---|---|
Provider Name | Richard Ochs |
First Address | Roxbury, MA 02119-3500 |
Second Address | Newton, MA 02459-3226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2014 |
Last Update Date | 26/06/2014 |