Individual
DR. NANCY STEPHANIE MROCZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
183 MARLBOROUGH ST, BOSTON, MA 02116
(617) 266-9268
Mailing address
183 MARLBOROUGH ST, BOSTON, MA 02116
(617) 266-9268
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1972
MA
103T00000X
Psychologist
1972
MA
103TA0700X
Adult Development & Aging Psychologist
1972
MA
103TB0200X
Cognitive & Behavioral Psychologist
1972
MA
103TH0100X
Health Service Psychologist
1972
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1972
MA
103TP2701X
Group Psychotherapy Psychologist
1972
MA
103TR0400X
Rehabilitation Psychologist
1972
MA
Other
Enumeration date
12/26/2006
Last updated
09/23/2010
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