Individual
DR. RICHARD A. LAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
45 MAIN ST, STE C4, WAREHAM, MA 02571-2152
(508) 295-5104
Mailing address
52 LEWIS ST, MARION, MA 02738-1657
(508) 295-5104
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3424
MA
Other
Enumeration date
04/03/2007
Last updated
04/27/2017
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