| Life Changes | |
|
875 Massachusetts Ave Suite 64 Cambridge MA 02139-3067 | |
| (617) 928-8891 | |
| Not Available |
| Full Name | Life Changes |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 875 Massachusetts Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Jonathan E. Goldberg (PRESIDENT/CEO) |
| Authorized Official Contact | 6179288891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Changes 875 Massachusetts Ave Suite 64 Cambridge MA 02139-3067 Ph: (617) 928-8891 | Life Changes 875 Massachusetts Ave Suite 64 Cambridge MA 02139-3067 Ph: (617) 928-8891 |
| NPI Number | 1255579918 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 02/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255579918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 8500 (Massachusetts) | Primary |
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