Lp Psychological & Wellness Services, Llc | |
92 Elmer Rd Boston MA 02124-5014 | |
(203) 667-9413 | |
Not Available |
Full Name | Lp Psychological & Wellness Services, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 92 Elmer Rd, Boston, Massachusetts |
Authorized Official Name and Position | Leah Ann Perniciaro-blair (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 2036679413 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lp Psychological & Wellness Services, Llc 92 Elmer Rd Boston MA 02124-5014 Ph: (203) 667-9413 | Lp Psychological & Wellness Services, Llc 92 Elmer Rd Boston MA 02124-5014 Ph: (203) 667-9413 |
NPI Number | 1023775657 |
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Provider Enumeration Date | 11/18/2021 |
Last Update Date | 11/18/2021 |
Certification Date | 11/16/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023775657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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