Healthcare Provider Details

I. General information

NPI: 1821198227
Provider Name (Legal Business Name): LOIS ROSENBERG KUGLER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 BARNSTABLE ROAD
HYANNIS MA
02601
US

IV. Provider business mailing address

190 CROSBY LANE
BREWSTER MA
02631
US

V. Phone/Fax

Practice location:
  • Phone: 508-862-0514
  • Fax:
Mailing address:
  • Phone: 508-896-2602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number7157
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number7157
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7157
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: