Individual
DR. RUTH ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1101 BEACON ST, SUITE 2E, BROOKLINE, MA 02446-5587
(617) 734-4149
Mailing address
1101 BEACON ST, SUITE 2E, BROOKLINE, MA 02446-5587
(617) 734-4149
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4111
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04043
BLUE CROSS BLUE SHIELD ID
MA
Enumeration date
01/28/2007
Last updated
07/08/2007
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