Individual
DR. MARIE LISE ROYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8 CEDAR ST, SUITE 58, WOBURN, MA 01801-7246
(781) 224-2820
(781) 224-0074
Mailing address
PO BOX 1860, WAKEFIELD, MA 01880-5860
(781) 224-2820
(781) 224-0074
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4876
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001859
HPHC-PACIFICARE
MA
01
—
102931
MBH-MAGELLAN
MA
01
—
135081
VALUEOPTIONS
MA
05
—
1899112
—
MA
01
—
5098732
AETNA
MA
01
—
790711
TUFTS
MA
01
—
83501259
UBH
MA
01
—
W10505
EMPIRE BC/BS
MA
Enumeration date
01/22/2007
Last updated
04/02/2010
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