Organization · Type 2 NPI

Life Health Center

Prescribing (Medical) Psychologist · Fitchburg, MA

NPI number 1154569317 Active

Practice location

348 Lunenburg St # Ma, #301
Fitchburg, MA 01420-4566

Fax (978) 345-0585

Mailing address

348 Lunenburg Ma, #301
Fitchburg, MA 01420

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016X33670 (MA)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

About NPI 1154569317

Life Health Center's National Provider Identifier is 1154569317, issued on Jan 27, 2009. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Fitchburg, MA. The record was last updated on Jan 27, 2009.