Lisa Manzi Lentino Phd Llc | |
416 Boston Post Rd Sudbury MA 01776-3016 | |
(978) 443-5611 | |
(978) 443-4769 |
Full Name | Lisa Manzi Lentino Phd Llc |
---|---|
Speciality | Psychologist |
Location | 416 Boston Post Rd, Sudbury, Massachusetts |
Authorized Official Name and Position | Lisa Manzi Lentino (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 9784435611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lisa Manzi Lentino Phd Llc 416 Boston Post Rd Sudbury MA 01776-3016 Ph: (978) 443-5611 | Lisa Manzi Lentino Phd Llc 416 Boston Post Rd Sudbury MA 01776-3016 Ph: (978) 443-5611 |
NPI Number | 1467782557 |
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Provider Enumeration Date | 01/12/2010 |
Last Update Date | 01/12/2010 |
Medicare PECOS PAC ID | 4183752314 |
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Medicare Enrollment ID | O20100510000536 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467782557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 7893 (Massachusetts) | Primary |
Provider Name | Lisa M Lentino |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1902822489 PECOS PAC ID: 2567496433 Enrollment ID: I20050920001093 |
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