| Doctor Name: | MS. LISA JEAN WASEL |
| NPI Number: | 1023175106 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 32 Hamilton Ave Milford, MA - 017571748 |
| Business Phone Number: | 5086343420 |
| Business Fax Number: | |
| Mailing Address: | 17 Beach St, WESTBOROUGH |
| State: | MA |
| Postal Code: | 015811601 |
| Phone Number: | 5087690571 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 08/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |