Healthcare Provider Details

I. General information

NPI: 1164771945
Provider Name (Legal Business Name): LEARNING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2012
Last Update Date: 04/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 WALPOLE STREET SUITE 5
NORWOOD MA
02062
US

IV. Provider business mailing address

49 WALPOLE STREET SUITE 5
NORWOOD MA
02062
US

V. Phone/Fax

Practice location:
  • Phone: 781-762-3750
  • Fax:
Mailing address:
  • Phone: 781-762-3750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. TRACEY STOLL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 781-762-3750