Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Center for Lifespan Development

Organization Clinical Psychologist · NPI 1205965423

Center for Lifespan Development is a Clinical Psychologist 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

Other providers in Waban