Individual
KEVIN LASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2000
Mailing address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9960
MA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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