Individual
CLINTON LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 HOWARD AVE, BOSTON, MA 02125-2804
(617) 838-1464
(617) 838-1464
Mailing address
141 HOWARD AVE, BOSTON, MA 02125-2804
(617) 838-1464
(617) 838-1464
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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