Blakely, Lauren R
Blakely, Lauren R is an sole proprietor health care provider with primary practice located at 96 Fairbanks Ave , Wellesley MA 02481-5256. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Blakely, Lauren R can be contacted via phone (617) 877-6294.Contact Information
Primary practice address
96 Fairbanks Ave
Wellesley MA 02481-5256
Phone: (617) 877-6294
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 7834 | Massachusetts |
Profile Details
| NPI number | 1184247132 |
|---|---|
| LBN Legal business name | Blakely, Lauren R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2020 |
| Last updated | May 26th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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