Individual
DR. NANCY E ROOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
124 SAGAMORE AVE, MEDFORD, MA 02155-2145
(781) 710-1881
Mailing address
124 SAGAMORE AVE, MEDFORD, MA 02155-2145
(781) 710-1881
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
8421
MA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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