Individual
DR. ROXANA LLERENA-QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6703
(617) 730-0319
Mailing address
124 HARVARD ST, BROOKLINE, MA 02446-6478
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4713
MA
103TC2200X
Clinical Child & Adolescent Psychologist
4713
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110023746A
—
MA
Enumeration date
01/15/2007
Last updated
12/28/2017
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