Organization
LANGUAGE AND COGNITIVE DEVELOPMENT CENTER
Active
Other names
LCDC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ETHAN BARAK MILLER BA,BS (MANAGER (OPERATIONS))
(617) 921-8159
Entity
Organization
Contact information
Practice address
154 WELLS AVE, SUITE 5, NEWTON CENTER, MA 02459-3347
(617) 965-0045
Mailing address
154 WELLS AVE, SUITE 5, NEWTON CENTER, MA 02459-3347
(617) 965-0045
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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