Individual
DR. ALEX W URSPRUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
361 PLANTATION ST, WORCESTER, MA 01605-2323
(508) 856-2551
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4931
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0520683
—
MA
Enumeration date
07/14/2006
Last updated
03/06/2009
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