| NPI | 1033826821 |
|---|---|
| Doing Business As | LD PSYCH SERVICES |
| Entity Type | Organization |
| Authorized Contact | LISA MARIE DAGNELLO Owner/Clinician 508-356-4495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-11-01 |