Individual
DR. LISA IGUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
339 WASHINGTON ST, SUITE 203, DEDHAM, MA 02026-1870
(781) 738-4954
Mailing address
339 WASHINGTON ST, SUITE 203, DEDHAM, MA 02026-1870
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
9365
MA
103G00000X
Clinical Neuropsychologist
PS01243
RI
Other
Enumeration date
08/24/2011
Last updated
12/08/2012
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