Individual
JANE LORI WALDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11 LAWRENCE LANE, LEXINGTON, MA 02421
(781) 862-8227
Mailing address
11 LAWRENCE LANE, LEXINGTON, MA 02421
(781) 862-8227
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7046
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W05526
BCBS
MA
Enumeration date
10/24/2005
Last updated
07/08/2007
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