Individual
DR. ROBERT C CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
225 BOSTON ST, SUITE 306, LYNN, MA 01904-3137
(617) 362-3139
(781) 592-3796
Mailing address
5 BABSON ST, UNIT 3, GLOUCESTER, MA 01930-3604
(978) 282-7452
(781) 598-8137
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4068
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0517011
—
MA
Enumeration date
08/09/2005
Last updated
07/09/2007
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