OrganizationActive
Advanced Neurotherapy, PC
NPI 1104846476 · Cognitive & Behavioral Psychologist · Wellesley, MA
Provider details
- NPI number
- 1104846476
- Entity type
- Organization
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Jolene Ross, Licensed Psychologist/Director
- License
- 3976 (MA)
Mailing address
10436 Park Tree Pl
Glen Allen, VA 23060-4487
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2023-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.