Organization
CHILD AND FAMILY PSYCHOLOGICAL SERVICES, PLLC
Active
Other names
LifeStance Health
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PARDO (CHIEF LEGAL OFFICER)
(425) 279-8500
Entity
Organization
Contact information
Practice address
89 ACCESS RD, SUITE 24, NORWOOD, MA 02062
(781) 551-0999
(781) 551-3396
Mailing address
169 LIBBEY PKWY, EAST WEYMOUTH, MA 02189-3101
(781) 551-0999
(781) 551-3396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
247200000X
Other Technician
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
01/22/2006
Last updated
03/26/2024
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