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Individual

DR. REBECCA A. SHRUM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1844B MASSACHUSETTS AVE, LEXINGTON, MA 02420-5331
(781) 863-8489
Mailing address
1844B MASSACHUSETTS AVE, LEXINGTON, MA 02420-5331
(781) 863-8489

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6102
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W04875
BLUECROSS/BLUESHIELD MA
MA
Enumeration date
11/07/2005
Last updated
07/08/2007
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