Center for Lifespan Development
NPI #1205965423 in Waban, Massachusetts
Provider Information
- NPI Number
- 1205965423
- Entity Type
- Organization
- Organization Name
- Center for Lifespan Development
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 91 WYMAN ST
- Address 2
- SUITE ONE
- City
- Waban
- State
- Massachusetts
- ZIP Code
- 02468-1529
- Phone
- (617) 969-7891
Authorized Official
- Name
- DR. SAMUEL J. MONCATA, PSY.D.
- Title
- PRESIDENT
- Phone
- (617) 969-7891
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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