Individual
OLIVIA LASALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
105 VICTORY RD, DORCHESTER, MA 02122-3518
(617) 371-3010
Mailing address
1426 WARSON OAKS CT, SAINT LOUIS, MO 63122-1660
(314) 698-3155
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
NY
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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