Individual
MR. ROBERT SU PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
30 GENERAL ST, LAWRENCE, MA 01840-1809
(978) 683-3128
(978) 682-7296
Mailing address
30 GENERAL ST, LAWRENCE, MA 01840-1809
(978) 683-3128
(978) 682-7296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
1169
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30427022
—
NH
Enumeration date
02/12/2008
Last updated
02/01/2009
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