Organization
HOPE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J. SLAGEN PH.D. (EXECUTIVE DIRECTOR)
(781) 402-2442
Entity
Organization
Contact information
Practice address
16 CLARKE ST, SUITE 21, LEXINGTON, MA 02421-4988
(781) 402-2442
(781) 402-1744
Mailing address
16 CLARKE ST, SUITE 21, LEXINGTON, MA 02421-4988
(781) 402-2442
(781) 402-1744
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005220
MEDICARE (PTAN) ACTIVEPROVIDER TRANSACTION ACCESS NUMBER
MA
Enumeration date
09/05/2007
Last updated
06/23/2008
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