Organization
NYSSA MATSON-KEATS, LICSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NYSSAS L MATSON-KEATS LICSW (THERAPIST)
(857) 998-0731
Entity
Organization
Contact information
Practice address
120 SCHOOL ST, LEXINGTON, MA 02421-7432
(857) 998-0731
Mailing address
85 CUSHING ST, CAMBRIDGE, MA 02138-4581
(857) 998-0731
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
111996
MA
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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