| Ld Psych Services | |
|
30 Allston Ave Worcester MA 01604-3323 | |
| (508) 356-4495 | |
| Not Available |
| Full Name | Ld Psych Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 30 Allston Ave, Worcester, Massachusetts |
| Authorized Official Name and Position | Lisa Marie Dagnello (OWNER/CLINICIAN) |
| Authorized Official Contact | 5083564495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ld Psych Services 30 Allston Ave Worcester MA 01604-3323 Ph: (508) 735-8619 | Ld Psych Services 30 Allston Ave Worcester MA 01604-3323 Ph: (508) 356-4495 |
| NPI Number | 1033826821 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/01/2022 |
| Certification Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033826821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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