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Individual

DR. LOUISE ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED D

Contact information

Practice address
223 BISHOPS FOREST DR, WALTHAM, MA 02452-8804
(339) 222-3374
Mailing address
223 BISHOPS FOREST DR, WALTHAM, MA 02452-8804
(339) 222-3374

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6138
MA
103TC0700X
Clinical Psychologist
6138
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6138
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6138
MA

Other

Enumeration date
06/23/2020
Last updated
06/23/2020
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