Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 7654 | MA |
Y | 103T00000X | Psychologist | 7654 | MA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 7654 | MA |
N | 103G00000X | Clinical Psychologist | 7654 | MA |
N | 103TC0700X | Clinical Psychologist | 7654 | MA |
N | 103TF0200X | Forensic Psychologist | 7654 | MA |
NPI | 1659328052 |
---|---|
Provider Name | Dr. Nilda M. Laboy |
First Address | Newton, MA 02459 |
Second Address | Newton, MA 02459 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 11/03/2016 |