Individual
DR. BHAVNA LAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
490 N MAIN ST STE 2, RANDOLPH, MA 02368-3741
(814) 769-9575
Mailing address
490 N MAIN ST, RANDOLPH, MA 02368-3741
(814) 753-1144
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
01/15/2020
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