Organization
NORTH SHORE PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD DEBLOCK PH.D. (PRESIDENT)
(978) 468-7671
Entity
Organization
Contact information
Practice address
135 MAIN ST, WENHAM, MA 01984-1543
(978) 468-7671
(978) 468-9720
Mailing address
PO BOX 567, WENHAM, MA 01984-2567
(978) 468-7671
(978) 468-9720
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4602
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WO4426
BC/BS
MA
Enumeration date
07/26/2007
Last updated
07/26/2007
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