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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