Organization
NEW ENGLAND CENTER FOR OCD AND ANXIETY BOSTON PLLC
Active
Other names
Lisa W. Coyne, PhD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA W COYNE PHD (DIRECTOR)
(401) 829-8491
Entity
Organization
Contact information
Practice address
612 MAIN ST, MELROSE, MA 02176-3116
(401) 829-8491
Mailing address
612 MAIN ST, MELROSE, MA 02176-3116
(401) 829-8491
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110-138-102-A
—
MA
01
—
1669707592
NPI
MA
Enumeration date
01/28/2020
Last updated
01/28/2020
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