Lisa Kay Edlin, Ph.D.
Psychologist, Clinical in Milford, MA. Individual provider (NPI-1).
NPI number1891701215
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1891701215
- Entity type
- Individual (NPI-1)
- Name
- Lisa Kay Edlin
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 7076 | MA | Yes |
Practice location
409 Fortune BlvdMilford, MA 01757-1741
Phone 508-473-7400 · Fax 508-473-6644
Mailing address
6 Blueberry DrMendon, MA 01756-1379
Phone 508-254-4480 · Fax 508-473-6644
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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