Individual
LISA KAY EDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
409 FORTUNE BLVD, MILFORD, MA 01757-1741
(508) 473-7400
(508) 473-6644
Mailing address
6 BLUEBERRY DR, MENDON, MA 01756-1379
(508) 254-4480
(508) 473-6644
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7076
MA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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