Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 6516 | MA |
NPI | 1023223583 |
---|---|
Provider Name | Lynda D. Field |
First Address | Melrose, MA 02176-3915 |
Second Address | Boston, MA 02108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |