Active NPIIndividual providerSole proprietor

Dr. Lisa A Krock, EDD

Psychologist, Clinical in Hanover, Massachusetts

NPI Number1538220751
Practice location
24 Rockland St, Hanover, MA 02339-2226
Fax
781-826-0965
Last updated
September 7, 2007

Lisa A Krock is a Psychologist, Clinical based in Hanover, MA. Lisa A Krock practices in Hanover, MA and has the professional credentials of EDD. The NPI Number for Lisa A Krock is 1538220751 and holds a License No. 3003 (MA). The current practice location address for Lisa A Krock is 24 Rockland St, Hanover, MA 02339-2226 and can be reached out via phone at 781-826-8228 and via fax at 781-826-0965.

Provider Profile Details

NPI Number
1538220751
Provider Name
Lisa A Krock
Credential
EDD
Provider Entity Type
Individual
Gender
Female
Address
24 Rockland St, Hanover, MA 02339-2226
Phone Number
781-826-8228
Fax Number
781-826-0965
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 12, 2006
Last Update Date
September 7, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Rockland St
Hanover, MA 02339-2226
Zip
02339-2226
Phone Number
781-826-8228
Fax Number
781-826-0965
Hanover, MA 02339Get directions →

Provider Business Mailing Address Details

Address
438 Pond St
Westwood, MA 02090-2831
City
Westwood
State
MA
Zip
02090-2831
Phone Number
781-826-8228
Fax Number
781-826-0965

License Information

License Number (1)
3003
License State (1)
MA
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
3003
License State (2)
MA
Taxonomy (2)
Psychologist, Family · 103TF0000X
License Number (3)
3003
License State (3)
MA
License Number (4)
3003
License State (4)
MA
Taxonomy (4)
Psychologist, Adult Development & Aging · 103TA0700X
License Number (5)
3003
License State (5)
MA
Taxonomy (5)
Psychologist, Clinical · 103TC0700X · Primary
License Number (6)
3003
License State (6)
MA
License Number (7)
3003
License State (7)
MA
Taxonomy (7)
Psychologist, Forensic · 103TF0200X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Lisa A Krock, EDD?

The NPI number of Dr. Lisa A Krock, EDD is 1538220751. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Lisa A Krock, EDD?

Dr. Lisa A Krock, EDD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 3003.

Where does Dr. Lisa A Krock, EDD practice?

The practice location is 24 Rockland St, Hanover, MA 02339-2226. The office can be reached at 781-826-8228 (phone) or 781-826-0965 (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 1538220751 directly on the NPPES registry website.

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