Individual
PATRICIA REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 MOUNT AUBURN ST, SUITE 306, CAMBRIDGE, MA 02138-6028
(781) 935-5050
Mailing address
25 MOUNT AUBURN ST, SUITE 306, CAMBRIDGE, MA 02138-6028
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
73619
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3094391
—
MA
Enumeration date
12/19/2006
Last updated
07/08/2007
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