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Individual

DR. VANESSA PROSPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
1525 BLUE HILL AVE, BOSTON, MA 02126-1702
(617) 296-1700
(617) 296-2979
Mailing address
55 7TH ST, APARTMENT 1, CAMBRIDGE, MA 02141-1516
(857) 205-9515

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
8814
MA
103TC2200X
Clinical Child & Adolescent Psychologist
8814
MA

Other

Enumeration date
04/16/2008
Last updated
04/16/2008
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