Individual
SAMANTHA ROTAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3293
(617) 729-2465
Mailing address
171 SOUTH ST APT 3A, JAMAICA PLAIN, MA 02130-3919
(717) 682-6735
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
06/11/2024
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