Individual
LAUREN SOLOTAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2020 CENTRE ST, WEST ROXBURY, MA 02132
(617) 325-6700
(617) 325-6581
Mailing address
191 GRANT AVE, NEWTON, MA 02159
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4782
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4782
LICENSE
MA
Enumeration date
03/14/2006
Last updated
07/08/2007
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