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General NPI Number Information
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NPI Number | 1588294532
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Entity Type | Organization
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Legal Business Name | LANAJEAN MCCLOY PSY.D. LLC
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Dates
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Enumeration Date | 01/17/2020
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 15 CYPRESS ST STE 201
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City | NEWTON
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State | MA
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Zip | 02459-2242
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Country | US
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Telephone | 781-423-1670
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Fax |
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Provider Business Mailing Address
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Address Line | 15 CYPRESS ST STE 201
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City | NEWTON
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State | MA
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Zip | 02459-2242
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. LANAJEAN MCCLOY
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Credential | PSY.D.
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Telephone | 781-423-1670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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