Organization
LAFAYETTE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE ROBERTS STOLER (DR)
(978) 352-8269
Entity
Organization
Contact information
Practice address
87 WASHINGTON ST, BOXFORD, MA 01921-1240
(978) 352-8269
Mailing address
87 WASHINGTON ST, BOXFORD, MA 01921-1240
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2229
MA
103TE1100X
Exercise & Sports Psychologist
2229
MA
103TH0100X
Health Service Psychologist
2229
MA
103TR0400X
Rehabilitation Psychologist
2229
MA
Other
Enumeration date
03/08/2007
Last updated
12/26/2007
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