Clinton Lassiter
Psychologist, Exercise & Sports in Boston, Massachusetts
1508752130- Practice location
- 141 Howard Ave, Boston, MA 02125-2804
- Phone
- 617-838-1464
- Fax
- 617-838-1464
- Last updated
- June 18, 2025
Clinton Lassiter is a Psychologist, Exercise & Sports based in Boston, MA. Clinton Lassiter practices in Boston, MA. The NPI Number for Clinton Lassiter is 1508752130. The current practice location address for Clinton Lassiter is 141 Howard Ave, Boston, MA 02125-2804 and can be reached out via phone at 617-838-1464 and via fax at 617-838-1464.
Provider Profile Details
- NPI Number
- 1508752130
- Provider Name
- Clinton Lassiter
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 141 Howard Ave, Boston, MA 02125-2804
- Phone Number
- 617-838-1464
- Fax Number
- 617-838-1464
- Primary Taxonomy
- Psychologist, Exercise & Sports · 103TE1100X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 18, 2025
- Last Update Date
- June 18, 2025
- Certification Date
- June 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 141 Howard Ave
Boston, MA 02125-2804 - City
- Boston
- State
- Massachusetts
- Zip
- 02125-2804
- Phone Number
- 617-838-1464
- Fax Number
- 617-838-1464
Provider Business Mailing Address Details
- Address
- 141 Howard Ave
Boston, MA 02125-2804 - City
- Boston
- State
- MA
- Zip
- 02125-2804
- Phone Number
- 617-838-1464
- Fax Number
- 617-838-1464
License Information
- Taxonomy
- Psychologist, Exercise & Sports · 103TE1100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Clinton Lassiter?
The NPI number of Clinton Lassiter is 1508752130. It was assigned on June 18, 2025 and is currently active in the NPPES registry.
What is the specialty of Clinton Lassiter?
Clinton Lassiter is registered under the primary taxonomy Psychologist, Exercise & Sports (code 103TE1100X).
Where does Clinton Lassiter practice?
The practice location is 141 Howard Ave, Boston, MA 02125-2804. The office can be reached at 617-838-1464 (phone) or 617-838-1464 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508752130 directly on the NPPES registry website.