Individual
LARA GUZMAN-HOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
361 PLANTATION ST, WORCESTER, MA 01605-2323
(774) 420-3189
(774) 420-3122
Mailing address
361 PLANTATION ST, WORCESTER, MA 01605-2323
(774) 420-3189
(774) 420-3122
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
8958PY-PR
MA
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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