| Center For Lifespan Development | |
|
91 Wyman St Suite One Waban MA 02468-1529 | |
| (617) 969-7891 | |
| Not Available |
| Full Name | Center For Lifespan Development |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 91 Wyman St, Waban, Massachusetts |
| Authorized Official Name and Position | Samuel J. Moncata (PRESIDENT) |
| Authorized Official Contact | 6179697891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Lifespan Development 91 Wyman St Suite One Waban MA 02468-1529 Ph: (617) 969-7891 | Center For Lifespan Development 91 Wyman St Suite One Waban MA 02468-1529 Ph: (617) 969-7891 |
| NPI Number | 1205965423 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205965423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Mary Pantuhova, Psy.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 Wyman St, Waban, MA 02468 Phone: 617-332-7596 | |
Phyllis Friedman Ross, Licsw, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 76 Gordon Rd, Waban, MA 02468 Phone: 617-285-8639 | |
Sheldon Roth Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1765 Beacon St, Waban, MA 02468 Phone: 617-332-6150 Fax: 617-527-6677 | |
Soo Jeong Youn Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Beethoven Ave, Waban, MA 02468 Phone: 617-286-4087 | |
John B. Herman, Md, Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Moffat Rd, Waban, MA 02468 Phone: 617-640-2775 | |
Audrey E. Stern, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Evelyn Rd, Waban, MA 02468 Phone: 617-209-9433 |