Healthcare Provider Details

I. General information

NPI: 1710892575
Provider Name (Legal Business Name): VANESSA LAMORETTI PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 BEACON ST STE 204
BROOKLINE MA
02446-5622
US

IV. Provider business mailing address

152 W SHORE RD
GREAT NECK NY
11024-1745
US

V. Phone/Fax

Practice location:
  • Phone: 617-741-0681
  • Fax: 617-485-1003
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: