Individual
DR. LAURA ANN GUREVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1679 MASSACHUSETTS AVE, FIRST FLOOR, CAMBRIDGE, MA 02138-1807
(857) 998-0413
Mailing address
PO BOX 382088, CAMBRIDGE, MA 02238-2088
(857) 998-0413
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3446
MD
103TC0700X
Clinical Psychologist
Primary
8056
MA
103TC0700X
Clinical Psychologist
PSY1920
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GN84
BCBS OF MD
MD
01
—
W06237
BCBS OF MA
MA
01
—
W10502
BCBS OF MA
MA
Enumeration date
07/23/2006
Last updated
07/08/2007
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