Healthcare Provider Details
I. General information
NPI: 1437080207
Provider Name (Legal Business Name): EDUCATIONAL PSYCHOLOGY & ASSESSMENT CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
188 MAIN ST
SOUTH GRAFTON MA
01560-1033
US
IV. Provider business mailing address
188 MAIN ST
SOUTH GRAFTON MA
01560-1033
US
V. Phone/Fax
- Phone: 508-450-6202
- Fax:
- Phone: 508-450-6202
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELLE
LEMAY
Title or Position: EDUCATIONAL PSYCHOLOGIST/OWNER
Credential: LEP, LMHC
Phone: 508-450-6202