Individual
DR. RONNA FRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
14 MICA LN, SUITE 3, WELLESLEY, MA 02481-1773
(617) 724-0963
(617) 426-1990
Mailing address
165 TREMONT ST, UNIT 501, BOSTON, MA 02111-1152
(617) 724-0963
(617) 426-1990
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4857
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04664
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
07/17/2006
Last updated
12/11/2013
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