Lonbraj Inc. | |
490 N Main St Ste 1 Randolph MA 02368-3741 | |
(404) 827-8256 | |
Not Available |
Full Name | Lonbraj Inc. |
---|---|
Speciality | Psychologist - Clinical |
Location | 490 N Main St Ste 1, Randolph, Massachusetts |
Authorized Official Name and Position | Elizabeth Farrah Louis (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 7864571709 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lonbraj Inc. 8 Pleasant St Apt 2 Boston MA 02125-3773 Ph: (786) 457-1709 | Lonbraj Inc. 490 N Main St Ste 1 Randolph MA 02368-3741 Ph: (404) 827-8256 |
NPI Number | 1699599605 |
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Provider Enumeration Date | 11/14/2024 |
Last Update Date | 11/14/2024 |
Certification Date | 11/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699599605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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