Individual
JENNIFER M. LAURETTI-ROBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 443-3886
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
8191
MA
103TC0700X
Clinical Psychologist
Primary
8191
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1850717
—
MA
Enumeration date
07/17/2006
Last updated
01/13/2023
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