Organization
LIFEDIMENSIONS NEUROPSYCHOLOGICAL SERVICES, INC
Active
Parent organization
LIFEDIMENSIONS NEUROPSYCHOLOGICAL SERVICES, INC
Other names
LIfeSpan Services, Inc. or Lifespan Neuropsychological Services, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEDIMENSIONS NEUROPSYCHOLOGICAL SERVICES, INC
Authorized official
DR. MARIE M WALBRIDGE PH.D. (CLERK, CO-OWNER)
(781) 348-3900
Entity
Organization
Contact information
Practice address
250 POND ST, LIFEDIMENSIONS NEUROPSYCHOLOGICAL SERVICES, INC., BRAINTREE, MA 02184-5351
(781) 348-2258
(781) 348-2132
Mailing address
250 POND ST, LIFEDIMENSIONS NEUROPSYCHOLOGICAL SERVICES, INC., BRAINTREE, MA 02184-5351
(781) 348-2258
(781) 348-2132
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4712
MA
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9721771
—
MA
01
—
W10469
BCBS
MA
Enumeration date
02/12/2006
Last updated
03/19/2011
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