Individual
DR. LAWRENCE GENE ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1105 MASSACHUSETTS AVE, SUITE 3F, CAMBRIDGE, MA 02138-5221
(617) 491-1085
(617) 876-3494
Mailing address
24 LEONARD AVE, #2, CAMBRIDGE, MA 02139-1020
(617) 491-1085
(617) 876-3494
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5018
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04716
BC/BS OF MASSACHUSETTS
MA
Enumeration date
12/07/2005
Last updated
01/18/2008
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