Condie, Lois B

Condie, Lois B is an individual health care provider with primary practice located at 300 Longwood Ave Fegan 11, Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Condie, Lois B can be contacted via phone (617) 355-8994.

Contact Information

Primary practice address
300 Longwood Ave Fegan 11 Boston MA 02115-5724
Phone: (617) 355-8994
Fax: (617) 730-0279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6350 Massachusetts
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6350 Massachusetts

Profile Details

NPI number 1972664126
LBN Legal business name Condie, Lois B
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jun 7th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1972664126 NPPES
Massachusetts MEDICAID 0523348

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