Individual
MYRA LALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1 WELBY RD, NEW BEDFORD, MA 02745-1137
(508) 558-9700
(508) 676-0935
Mailing address
PO BOX 186, SOMERSET, MA 02726-0186
(508) 558-9700
(508) 676-0935
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
383
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0502715
—
MA
Enumeration date
07/11/2006
Last updated
01/27/2024
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