Individual
DR. ROXANNE VAN DE WATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
340 MAPLE ST, 4TH FLOOR, MARLBOROUGH, MA 01752-3200
(508) 485-9300
(508) 485-6904
Mailing address
1 CLARKS HL, SUITE 305, FRAMINGHAM, MA 01702-8172
(508) 628-6606
(508) 626-0326
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7930
MA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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