Individual
DR. MARIAN ROSOFF ENCARNACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
21 FRANKLIN ST, SUITE 2, QUINCY, MA 02169-4951
(617) 472-1414
(617) 472-9494
Mailing address
21 FRANKLIN ST, SUITE 2, QUINCY, MA 02169-4951
(617) 472-1414
(617) 472-9494
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6379
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063670
BEACON HEALTH
MA
01
—
329777
HARVARD PILGRIM HC
MA
01
—
733054
TUFTS HP
MA
01
—
W10458
BCBS MA
MA
Enumeration date
12/05/2006
Last updated
12/16/2010
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