Individual
LAURA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 PAIGE HALL, 12 UPPER CAMPUS ROAD, MEDFORD, MA 02155
(617) 627-3260
Mailing address
203 PAIGE HALL, 12 UPPER CAMPUS ROAD, MEDFORD, MA 02155
(617) 627-3260
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
5049
MA
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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