Individual
LYDIA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1536 MAIN ST APT B, CONCORD, MA 01742-2826
(978) 505-3698
Mailing address
1536 MAIN ST APT B, CONCORD, MA 01742-2826
(978) 505-3698
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
048.0059118
VT
103T00000X
Psychologist
PS1469
ME
Other
Enumeration date
01/24/2017
Last updated
02/11/2021
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