Individual
BRIAN K. DESSUREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
33 LYMAN ST STE 400, WESTBOROUGH, MA 01581-1434
(508) 898-0055
(508) 898-0035
Mailing address
33 LYMAN ST STE 400, WESTBOROUGH, MA 01581-1434
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
8006
MA
103TC0700X
Clinical Psychologist
8006
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110022356A
—
MA
Enumeration date
11/04/2005
Last updated
11/11/2025
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