Individual
DR. RONA L. TANANBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 FRANKLIN COMMONS, FRAMINGHAM, MA 01702-6619
(508) 872-6610
(508) 872-6722
Mailing address
17 LOWE CIR, FRAMINGHAM, MA 01701-7632
(508) 877-6825
(508) 872-6722
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3783
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W03760
BLUECROSS BLUE SHIELD
MA
Enumeration date
02/14/2007
Last updated
07/08/2007
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