Individual
DR. LOIS B CONDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 11, BOSTON, MA 02115-5724
(617) 355-8994
(617) 730-0279
Mailing address
300 LONGWOOD AVE, FEGAN 11, BOSTON, MA 02115-5724
(617) 355-8994
(617) 730-0279
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6350
MA
103TC0700X
Clinical Psychologist
6350
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0523348
—
MA
Enumeration date
12/12/2006
Last updated
06/07/2024
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