Individual
DR. NICHOLAS ARMAND ROTOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
20 HOPE AVE STE 107, WALTHAM, MA 02453-2717
(508) 847-9642
(781) 609-7408
Mailing address
25 WELLINGTON ST APT 3, WALTHAM, MA 02451-3649
(508) 847-9642
(781) 609-7408
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10670
MA
103TC2200X
Clinical Child & Adolescent Psychologist
10670
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303619
—
MA
Enumeration date
05/08/2015
Last updated
05/11/2022
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