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HEIDI LACK PHD ATR-BC NPI 1740697523


NPI Information

NPI: 1740697523
Provider Name: HEIDI LACK, PHD, ATR-BC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
16 CLARKE ST STE 23
LEXINGTON, MA
ZIP 02421
Phone: (781) 863-8696
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HEIDI LACK, PHD, ATR-BC is a mental health (including community mental health center) clinic center in Lexington, MA. HEIDI LACK, PHD, ATR-BC NPI is 1740697523. The provider is registered as an organization entity type.

The provider's business location address is:

16 CLARKE ST STE 23
LEXINGTON, MA
ZIP 02421-938
Phone: (781) 863-8696

The provider's authorized official is Heidi Lack .
The authorized official title is Director, Psychologistart Therapist and has the following contact phone number (781) 863-8696.

The enumeration date for this NPI number is 7/14/2014 and was last updated on 7/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental Health7518MASSACHUSETTSNo
2261QM0855XClinic/CenterAdolescent and Children Mental Health7518MASSACHUSETTSNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)7518MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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