Center For Lifespan Development | |
91 Wyman St Suite One Waban MA 02468-1529 | |
(617) 969-7891 | |
Not Available |
Full Name | Center For Lifespan Development |
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Speciality | Psychologist - Clinical |
Location | 91 Wyman St, Waban, Massachusetts |
Authorized Official Name and Position | Samuel J. Moncata (PRESIDENT) |
Authorized Official Contact | 6179697891 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center For Lifespan Development 91 Wyman St Suite One Waban MA 02468-1529 Ph: (617) 969-7891 | Center For Lifespan Development 91 Wyman St Suite One Waban MA 02468-1529 Ph: (617) 969-7891 |
NPI Number | 1205965423 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1205965423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Mary Pantuhova, Psy.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 Wyman St, Waban, MA 02468 Phone: 617-332-7596 | |
Phyllis Friedman Ross, Licsw, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 76 Gordon Rd, Waban, MA 02468 Phone: 617-285-8639 | |
Sheldon Roth Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1765 Beacon St, Waban, MA 02468 Phone: 617-332-6150 Fax: 617-527-6677 | |
Soo Jeong Youn Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Beethoven Ave, Waban, MA 02468 Phone: 617-286-4087 | |
Audrey E. Stern, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Evelyn Rd, Waban, MA 02468 Phone: 617-209-9433 | |
Applied Psychology Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 Upland Rd, Waban, MA 02468 Phone: 617-971-3007 |