Organization
LAMORA COUNSELING ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER A. LAMORA ED. D. (PRESIDENT)
(603) 582-8075
Entity
Organization
Contact information
Practice address
416 TEMPLE ST, DUXBURY, MA 02332-3231
(603) 582-8075
Mailing address
11 S STATION ST, UNIT 1, DUXBURY, MA 02332-4534
(603) 582-8075
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
3453
MA
103TC0700X
Clinical Psychologist
3453
MA
103TC2200X
Clinical Child & Adolescent Psychologist
3453
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165
LICENSE NUMBER
NH
01
—
3453
LICENSE NUMBER
MA
Enumeration date
11/14/2015
Last updated
11/14/2015
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