Organization
CHILD DEVELOPMENT NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANINE STASIOR PHD, ABPDN (PRACTICE MANAGER, NEUROPSYCHOLOGIST)
(781) 861-6655
Entity
Organization
Contact information
Practice address
76 BEDFORD ST, SUITE 12, LEXINGTON, MA 02420-4646
(781) 861-6655
(781) 861-6654
Mailing address
76 BEDFORD ST, SUITE 12, LEXINGTON, MA 02420-4646
(781) 861-6655
(781) 861-6654
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2178
MA
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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