Individual
LAURIE HOROWITZ HUMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
60 CLEMENTS RD, WALTHAM, MA 02453-8208
(781) 266-7832
Mailing address
60 CLEMENTS RD, WALTHAM, MA 02453-8208
(781) 266-7832
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3766-PY-PR
MA
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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