| 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 |
|---|---|
| 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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