Organization
CHILD AND FAMILY PSYCHOLOGICAL SERVICES PLLC
Active
Organization
CHILD AND FAMILY PSYCHOLOGICAL SERVICES PLLC
Active
Other names
LifeStance Health
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PARDO (CHIEF LEGAL OFFICER)
(254) 279-8500
Entity
Organization
Contact information
Practice address
169 LIBBEY INDUSTRIAL PKWY # 2ND, EAST WEYMOUTH, MA 02189-3189
(781) 551-0999
(781) 551-3396
Mailing address
169 LIBBEY INDUSTRIAL PKWY, WEYMOUTH, MA 02189-3189
(781) 551-0999
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
01/04/2024
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