Organization
NEW ENGLAND PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L NARDINE PSYD (OWNER)
(508) 308-7116
Entity
Organization
Contact information
Practice address
2 MOUNT ROYAL AVE STE 208, MARLBOROUGH, MA 01752-1976
(508) 485-4856
(866) 332-4290
Mailing address
2 MOUNT ROYAL AVE STE 208, MARLBOROUGH, MA 01752-1976
(508) 485-4856
(866) 332-4290
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659450724
INDIVIDUAL NPI
—
05
—
W04028
—
MA
Enumeration date
08/19/2019
Last updated
08/19/2019
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