Individual
MR. LYNWOOD MCCASSIE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
Mailing address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/11/2015
Last updated
09/03/2016
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