Organization
PSYCHOLOGICAL CONSULTING, P.C.
Active
Organization
PSYCHOLOGICAL CONSULTING, P.C.
Active
Other names
Marie Lise Royer, Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE LISE ROYER PH.D. (CLINICAL PSYCHOLOGIST)
(781) 224-2820
Entity
Organization
Contact information
Practice address
8 CEDAR ST, SUITE 58, WOBURN, MA 01801-7246
(781) 224-2820
(781) 224-0074
Mailing address
PO BOX 1860, WAKEFIELD, MA 01880-5860
(781) 224-2820
(781) 224-0074
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4876
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001859
HPHC-PACIFICARE
MA
01
—
102931
MBH-MAGELLAN
MA
01
—
135081
VALUEOPTIONS
MA
05
—
1899112
—
MA
01
—
5098732
AETNA BEH. HEALTH
MA
01
—
790711
TUFTS HEALTH PLAN MEDICARE PREFERRED
MA
01
—
W05512
BC/BS OF MA FOR 'MARIE LISE ROYER'
MA
01
—
W10505
EMPIRE BCBS, EIN#
MA
Enumeration date
01/23/2007
Last updated
12/28/2010
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