Individual
DR. ROBERT FREDERICK NACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., M.DIV.
Contact information
Practice address
17 WINSLOW ST, HYDE PARK, MA 02136-1730
(617) 240-6713
Mailing address
17 WINSLOW ST, HYDE PARK, MA 02136-1730
(617) 361-4563
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8042
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1857258
MASSHEALTH
MA
01
—
W06259
BLUECROSSBLUESHIELD
MA
Enumeration date
11/20/2006
Last updated
10/07/2024
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