Organization
CENTER FOR LIFESPAN DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL J. MONCATA PSY.D. (PRESIDENT)
(617) 969-7891
Entity
Organization
Contact information
Practice address
91 WYMAN ST, SUITE ONE, WABAN, MA 02468-1529
(617) 969-7891
Mailing address
91 WYMAN ST, SUITE ONE, WABAN, MA 02468-1529
(617) 969-7891
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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