MEDICARE: DR. BARBARA HEMLEY ROSENN PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	6076	MA
2	103TC0700X	Clinical Psychologist	6076	MA

General Provider Information

NPI Number	:	1881691475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA HEMLEY ROSENN PSY.D.

Provider Business Mailing Address
First Line	:	26 GARRISON RD
Second Line	:
City	:	WELLESLEY
State	:	MA
Zip	:	02482-2305
Country	:	US
Telephone Number	:	781-237-1477
Fax Number	:	781-237-3410

Provider Business Practice Location Address
First Line	:	310 WASHINGTON ST
Second Line	:	STE 203
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-4949
Country	:	US
Telephone Number	:	781-237-1477
Fax Number	:	781-237-3410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	12/01/2011

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