Individual
DR. MARTIN J LAROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
75 BICKFORD ST, JAMAICA PLAIN, MA 02130-1401
(617) 971-2201
(617) 983-1377
Mailing address
22 CHANDLER ST, BELMONT, MA 02478-5028
(617) 484-6177
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7167
MA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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