Organization · Type 2 NPI
Heidi Lack, Phd, Atr-Bc
Mental Health Clinic/Center (Including Community Mental Health Center) · Lexington, MA
NPI number
1740697523
Active
Practice location
16 Clarke St Ste 23
Lexington, MA 02421-4938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 7518 (MA) |
| Adult Mental Health Clinic/Center | 261QM0850X | 7518 (MA) |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 7518 (MA) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1740697523
Heidi Lack, Phd, Atr-Bc's National Provider Identifier is 1740697523, issued on Jul 14, 2014. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lexington, MA. The record was last updated on Jul 14, 2014.