Organization
LABYRINTH PSYCHOLOGICAL SERVICES, P.C.
Active
Organization
LABYRINTH PSYCHOLOGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANYA HARRIS BLUESTONE PH.D. (OWNER/CHIEF EXECUTIVE OFFICER)
(508) 797-7110
Entity
Organization
Contact information
Practice address
800 MAIN ST, HOLDEN, MA 01520-1838
(508) 797-7110
Mailing address
800 MAIN ST, HOLDEN, MA 01520-1838
(508) 797-7110
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7130
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487693388
NPI INDIVIDUAL PROVIDER
MA
Enumeration date
01/21/2016
Last updated
03/22/2021
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