Healthcare Provider Details

I. General information

NPI: 1437368727
Provider Name (Legal Business Name): FRANCES LITCHFIELD TURNBULL ED.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 BEDFORD ST SUITE125
LEXINGTON MA
02420-4500
US

IV. Provider business mailing address

31 HANCOCK ST
LEXINGTON MA
02420-3443
US

V. Phone/Fax

Practice location:
  • Phone: 781-862-0434
  • Fax:
Mailing address:
  • Phone: 781-862-0434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6440
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: