Provider Demographics
NPI:1306217237
Name:BOSTON CHILD & ADOLESCENT ASSESSMENT LLC
Entity Type:Organization
Organization Name:BOSTON CHILD & ADOLESCENT ASSESSMENT LLC
Other - Org Name:CHRISTINE SADOWSKI PHD DBA
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SADOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-600-6342
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-0083
Mailing Address - Country:US
Mailing Address - Phone:617-600-6342
Mailing Address - Fax:888-975-4481
Practice Address - Street 1:124 WATERTOWN ST
Practice Address - Street 2:SUITE 3A EAST
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-2576
Practice Address - Country:US
Practice Address - Phone:617-600-6342
Practice Address - Fax:888-975-4481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9236103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty