Individual
DR. MAUREEN MADELINE LAVALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1010 MAIN ST, HOLDEN, MA 01520-1237
(508) 612-9344
Mailing address
1010 MAIN ST, HOLDEN, MA 01520-1237
(508) 612-9344
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4564
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184772543
BC/BS
MA
01
—
4564
LICENSE
MA
Enumeration date
01/08/2007
Last updated
05/20/2022
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