Individual
DR. LUCAS BAKER-SIROTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
11 CHAPEL PL, WELLESLEY, MA 02481-3130
(781) 235-4950
Mailing address
PO BOX 380524, CAMBRIDGE, MA 02238-0524
(617) 903-0878
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11179
MA
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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