| Organization Name: | PSYCHOLOGICAL ASSOCIATES OF SOUTHEASTERN MASSACHUSETTS, LLC |
| NPI Number: | 1326052317 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE L CARLSON (MANAGING PARTNER) |
| Mailing Address: | 115 Main St Suite 2d North Easton |
| State: | MA US |
| Postal Code: | 023561468 |
| Phone Number: | 5082387766 |
| Fax Number: | 5082305089 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 08/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 99999 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |