Organization
LONBRAJ INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH FARRAH LOUIS PHD (PSYCHOLOGIST/OWNER)
(786) 457-1709
Entity
Organization
Contact information
Practice address
490 N MAIN ST STE 1, RANDOLPH, MA 02368-3741
(404) 827-8256
Mailing address
8 PLEASANT ST APT 2, BOSTON, MA 02125-3773
(786) 457-1709
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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