Individual
DR. DIANNE M KLIPP SCOLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
145 LOWELL ROAD, GROTON, MA 01450
(978) 448-5344
Mailing address
PO BOX 304, WEST GROTON, MA 01472
(978) 448-5344
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2349
MA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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