Dr. Lesley Irene Shore, Ph.D.
Psychologist in Medfield, MA. Individual provider (NPI-1).
NPI number1174667331
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174667331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lesley Irene Shore
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 378 | MA | Yes |
Practice location
315 North StMedfield, MA 02052-1211
Phone 508-359-8056
Mailing address
315 North StMedfield, MA 02052-1211
Phone 508-359-8056
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