| NPI | 1932172632 |
|---|---|
| Former Legal Business Name | LIFESPAN SERVICES, INC. OR LIFESPAN NEUROPSYCHOLOGICAL SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | MARIE M WALBRIDGE Clerk, Co Owner 781-348-3900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 4712) |
| Enumeration Date | 2006-02-12 |
| Last Update Date | 2011-03-19 |