Individual
DR. LISA WAMSLEY COYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
41 TEMPLE ST, BOSTON, MA 02114-4241
(617) 305-6363
Mailing address
21 PEARL ST, MELROSE, MA 02176-1303
(781) 665-0291
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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