Individual
DR. ROBERT GARY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED. D.
Contact information
Practice address
17 BRADFORD ST, BOSTON, MA 02118-2118
(617) 426-1920
Mailing address
17 BRADFORD ST, BOSTON, MA 02118-2118
(617) 426-1920
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3540
MA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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