Individual
LISA TEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
66 JUNCTION SQUARE DRIVE, CONCORD, MA 01742
(978) 254-7227
Mailing address
47 GRANT STREET, CONCORD, MA 01742
(978) 254-7227
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9106
MA
103TC0700X
Clinical Psychologist
PSY17600
CA
Other
Enumeration date
11/11/2006
Last updated
09/13/2012
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