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Contact Information

HIGHLANDS PERFORMANCE AND PSYCHOLOGICAL SERVICES, PLLC
132 CHURCH ST UNIT 2
WALTHAM, MA02452-5618
 Phone: 401-862-8803
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Adolescent and Children Mental Health

261QM0855X
 

Adult Mental Health

261QM0850X
Indicates primary specialty

NPI Profile & details for HIGHLANDS PERFORMANCE AND PSYCHOLOGICAL SERVICES PLLC · (Female)

NPI # 1922876135
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2023
Last updated 12/18/2023 - About 2 years ago
Sole proprietor 1 Not specified
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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