Organization
BOSTONNEUROBEHAVIORALASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE PITCHFORD LSW (DIRECTOROFOUTPATIENTSERVICES)
17814921689
Entity
Organization
Contact information
Practice address
80 BRIDGE ST, DEDHAM, MA 02026-1765
(781) 492-1689
Mailing address
80 BRIDGE ST, DEDHAM, MA 02026-1765
(781) 492-1689
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
974608
—
MA
Enumeration date
10/31/2006
Last updated
07/21/2022
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