| Stefanie Lava Clinical Psychology Llc | |
|
1082 Davol St Fall River MA 02720-1124 | |
| (973) 768-0856 | |
| (866) 868-3006 |
| Full Name | Stefanie Lava Clinical Psychology Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1082 Davol St, Fall River, Massachusetts |
| Authorized Official Name and Position | Stefanie Lava (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9737680856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stefanie Lava Clinical Psychology Llc 110 Robin Rd Portsmouth RI 02871-3711 Ph: (973) 768-0856 | Stefanie Lava Clinical Psychology Llc 1082 Davol St Fall River MA 02720-1124 Ph: (973) 768-0856 |
| NPI Number | 1730626425 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 04/22/2025 |
| Certification Date | 04/22/2025 |
| Medicare PECOS PAC ID | 2264959923 |
|---|---|
| Medicare Enrollment ID | O20250506002008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730626425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 9346 (Massachusetts) | Primary |
| Provider Name | Stefanie B Lava |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1144510835 PECOS PAC ID: 4082131743 Enrollment ID: I20250506002125 |
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