Individual
MR. GARY D JOSLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, PHD CAND
Contact information
Practice address
18 DIAMOND RD, LEXINGTON, MA 02420-1622
(781) 799-0025
(617) 523-1207
Mailing address
18 DIAMOND RD, LEXINGTON, MA 02420-1622
(781) 799-0025
(617) 523-1207
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1612
MA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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