Individual
DR. LAURIE CESTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
144 NORTH RD STE 1225, SUDBURY, MA 01776-1164
(617) 413-2065
Mailing address
144 NORTH RD STE 1225, SUDBURY, MA 01776-1164
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
10000649
MA
103T00000X
Psychologist
10000649
MA
103T00000X
Psychologist
4646
CT
103TB0200X
Cognitive & Behavioral Psychologist
3083
MA
103TC2200X
Clinical Child & Adolescent Psychologist
10000649
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004626
—
CT
01
—
10000649
PSYCHOLOGIST LICENSE
MA
05
—
10000649
—
MA
01
—
4646
PSYCHOLOGIST LICENSE
CT
Enumeration date
01/04/2019
Last updated
10/20/2025
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