Individual
DR. LAURA ELLEN KANTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
107 GRIGGS RD, BROOKLINE, MA 02446-4700
(617) 738-8983
Mailing address
107 GRIGGS RD, BROOKLINE, MA 02446-4700
(617) 738-8983
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6951
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W05541
BLUE CROSS/BLUE SHIELD MA
MA
Enumeration date
01/09/2006
Last updated
07/08/2007
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