Organization
LIFE ENHANCEMENT PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESHELLE WOODARD PH.D. (PSYCHOLOGIST)
(617) 552-5124
Entity
Organization
Contact information
Practice address
427 COLUMBIA RD STE 108, HANOVER, MA 02339
(617) 552-5124
Mailing address
PO BOX 934, HANOVER, MA 02339-0934
(617) 552-5124
(888) 317-2641
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8649
MA
104100000X
Social Worker
115940
MA
Other
Enumeration date
03/21/2011
Last updated
07/23/2018
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