Individual
DR. LAURA E VANDERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., M.ED., B.A.
Contact information
Practice address
20 WALDO RD, ARLINGTON, MA 02474-6908
(617) 416-6449
Mailing address
20 WALDO RD, ARLINGTON, MA 02474-6908
(617) 416-6449
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
174400000X
Specialist
—
—
1744R1102X
Research Study Specialist
—
—
174H00000X
Health Educator
—
—
225C00000X
Rehabilitation Counselor
—
—
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
—
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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