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LIFEDIMENSIONS NEUROPSYCHOLOGICAL SERVICES, INC

Clinical Neuropsychologist

Braintree, Massachusetts

Provider NPI: 1932172632

Organization Information:
Organization Name:  LIFEDIMENSIONS NEUROPSYCHOLOGICAL SERVICES, INC
Organization is Subpart
Authorized Official:  MARIE M WALBRIDGE  CLERK, CO-OWNER  781-3483900

Practice Location:
250 POND ST LIFEDIMENSIONS NEUROPSYCHOLOGICAL SERVICES, INC. BRAINTREE, MA 02184 US
Tel: 781-348-2258  Fax: 781-348-2132

Business Mailing Address:
250 POND ST LIFEDIMENSIONS NEUROPSYCHOLOGICAL SERVICES, INC. BRAINTREE, MA 02184 US
Tel: 781-348-2258  Fax: 781-348-2132

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MA4712
Y103T00000XBehavioral Health & Social Service Providers
Psychologist

Other Provider Identifiers:

IssuerNumberStateType
9721771MA05
BCBSW10469MA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS MA - Page 1

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