Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Center for Lifespan Development

Organization Clinical Psychologist · NPI 1205965423

Center for Lifespan Development provides Clinical Psychologist services in Waban, Massachusetts. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

91 Wyman St Ste One
Waban, MA 02468-1529
Phone: (617) 969-7891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1205965423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Moncata — President · (617) 969-7891
NPI enumeratedMarch 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing address91 Wyman St, Suite One, Waban, MA 02468-1529

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