Organization Name: | COUNSELING CONNECTION OF LEXINGTON |
NPI Number: | 1063744613 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHANTAL F NOUVELLON (DIRECTOR) |
Mailing Address: | 2 Winter St Suite 401 Waltham |
State: | MA US |
Postal Code: | 02451 |
Phone Number: | 7813630390 |
Fax Number: | 7816460509 |
NPI Enumeration Date: | 02/08/2010 |
NPI Last Update Date: | 04/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 154583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |