Individual
SCOTT SORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(858) 329-1092
Mailing address
399 ATLANTIC AVE, MARBLEHEAD, MA 01945-2715
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11787
MA
103T00000X
Psychologist
32000
CA
Other
Enumeration date
12/13/2021
Last updated
07/12/2022
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