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Contact Information

CLINTON LASSITER
141 HOWARD AVE
BOSTON, MA02125-2804
 Phone: 617-838-1464
 Fax: 617-838-1464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CLINTON LASSITER · (Male)

NPI Number 1508752130
Status Active
Credentials
Entity Individual
Enumeration date 06/18/2025
Last updated 06/18/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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