LISA KAY EDLIN


Address: 409 Fortune Blvd, Milford, MA 01757-1741
Phone: 5084737400

LISA KAY EDLIN (NPI# 1891701215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891701215
Entity Type Individual
Full Name LISA KAY EDLIN
Credential PH.D.
Practice Address 409 Fortune Blvd
Milford
MA 01757-1741
Mailing Address 6 Blueberry Dr
Mendon
MA 01756-1379
Practice Telephone 5084737400
Practice Fax Number 5084736644
Mailing Telephone 5082544480
Mailing Fax Number 5084736644
Enumeration Date 2006-07-31
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
7076 MA Behavioral Health & Social Service Providers

Office Location

Street Address 409 FORTUNE BLVD
City MILFORD
State MA
Zip Code 01757-1741

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417435751 Rebecca Brody Clinical Neuropsychologist 409 Fortune Blvd, Milford, MA 01757-1741 2018-07-30
1316498405 Joanne Kerr Social Worker 409 Fortune Blvd, Milford-franklin Counseling Services, Milford, MA 01757-1741 2016-10-24
1497072003 Alison Bethany Perry Social Worker 409 Fortune Blvd, Milford, MA 01757-1741 2010-04-23
1073767943 Gabrielle Mclean Social Worker 409 Fortune Blvd, Suite 101, Milford, MA 01757-1741 2008-11-05
1992975965 Elizabeth Ann Barr Counselor 409 Fortune Blvd, Suite 101, Milford, MA 01757-1741 2008-03-06
1023206059 Jacqueline Wiener Social Worker 409 Fortune Blvd, Milford, MA 01757-1741 2007-10-03
1033328141 Melissa C Whitehouse Social Worker 409 Fortune Blvd, Milford, MA 01757-1741 2007-05-22
1780891408 Kerrie Siena Toole Social Worker 409 Fortune Blvd, Suite 101, Milford, MA 01757-1741 2007-05-16
1255459723 Valarie Ann Clemente-crain Counselor 409 Fortune Blvd, Milford, MA 01757-1741 2007-03-26
1134245525 Louis Charles Chagnon Social Worker 409 Fortune Blvd, Milford, MA 01757-1741 2007-03-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1578028494 Point of Healing Acupuncture LLC Acupuncturist 114 Water Street, Building 1, Milford, MA 01757 2019-02-05
1205354701 Cristina Alexandra Cruz Psychologist 10 Asylum Street, Milford, MA 01757 2017-09-05
1316460694 Kayla Supple Behavioral Analyst 7 Caroline Drive, Milford, MA 01757 2017-07-19
1487176111 Kelsey Elizabeth Meleady Developmental Therapist 421 Fortune Boulevard, Milford, MA 01757 2017-07-14
1376065748 Roberta Marie Mcleod Developmental Therapist 321 Fortune Boulevard, Milford, MA 01757 2017-07-07
1124442884 Cornerstone At Milford Assisted Living Facility 11 Birch St., Milford, MA 01757 2014-02-14
1861835126 Haylie Nichele Fuhrmann Social Worker 32 Hamilton St, Milford, MA 01757 2013-04-16
1558602680 Lauren Kate Stasiukiewicz Developmental Therapist 321 Forture Blvd, Milford, MA 01757 2013-03-14
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396359154 Theresa Mary Brasier Psychologist 25 Birch St Ste A, Milford, MA 01757-3585 2020-08-31
1497129811 Joy Zelikovsky Psychologist 55 Botsford Ave, Milford, CT 06460-5804 2015-11-23
1679973994 Jcp Psychological Services P.C. Psychologist 7 Deerfield Ave, Milford, CT 06460-7317 2014-08-25
1952743965 Courtney Marie Mattiace Psychologist 57 Cherry St, Milford, CT 06460-3414 2013-07-19
1730426768 Natalie Jo Sandbulte Psychologist 910 10th St, Milford, IA 51351-1530 2013-01-10
1720219512 Beyer and Associates Psychological Services Psychologist 1562 Hunters Lake Ct, Milford, MI 48380-3250 2009-07-28
1639341605 Kimberly A. Massey Psychologist 57 Plains Rd Ste 2c, Milford, CT 06461-2573 2008-03-30
1548304959 Jean M Wiedholz Psychologist 204 E Harford St, Milford, PA 18337-1004 2007-02-18
1437243284 Michael Faff Psychologist 1800 N Milford Rd, Suite 100, Milford, MI 48381-1047 2006-10-03
1912004581 Annette Renee Evans Psychologist 1042 N Milford Rd Ste 203, Milford, MI 48381-5109 2006-09-17
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Competitor

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City MILFORD
Zip Code 01757

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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