Ancora Psychological, PLLC
Organization Active NPI Clinical Psychologist · Wakefield, MA
NPI 1447636352 · NPPES record last updated Aug 3, 2015
Key facts
- NPI
- 1447636352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 9422 (MA)
- Legal business name
- ANCORA PSYCHOLOGICAL, PLLC
- Practice address
- 591 North Ave
Door #3, First Floor
Wakefield, MA 01880-1647 - Phone
- (781) 224-4202
- Fax
- (781) 224-4203
- NPI assigned
- Aug 3, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Laurence Merrill Kelly Jr., PSY.D.
- Title
- Clinical Psychologist
- Phone
- (781) 224-4202
Practitioners 1
-
Renee S. Lajoie, PSYD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 9422 | MA | Yes |
Addresses
Primary practice location
591 North Ave
Door #3, First Floor
Wakefield, MA 01880-1647
Mailing address
591 North Ave
Door #3, First Floor
Wakefield, MA 01880-1647
Phone (781) 224-4202
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.