Growing Minds, LLC
Psychologist, Clinical in Lexington, MA. Organization (NPI-2).
NPI number1629474366
StatusActive
Last updated in NPPESNov 7, 2014
Details
- NPI
- 1629474366
- Entity type
- Organization (NPI-2)
- Legal business name
- Growing Minds, LLC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2014
- Last updated
- Nov 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
4 Militia DrSuite 17
Lexington, MA 02421-4737
Phone 339-970-0659
Mailing address
4 Militia DrSuite 17
Lexington, MA 02421-4737
Phone 339-970-0659
Authorized official
Anya Shifman Dashevsky
Licensed Psychologist
3399700659
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