Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor | 273341 | MA |
N | 103TS0200X | School Psychologist | 753 | MA |
NPI | 1124224290 |
---|---|
Provider Name | Mr. Richard C Lacroix |
First Address | Franklin, MA 02038-1542 |
Second Address | Franklin, MA 02038-1542 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 08/07/2007 |