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NPI Code Detail

MEDICARE: DR. LAURA ALLAN FERRER PH.D.

MEDICARE: DR. LAURA ALLAN FERRER PH.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
1103T00000XPsychologist7567MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1W50458OTHERMAMEDICARE PTAN

General Provider Information

NPI Number : 1679634380
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA ALLAN FERRER PH.D.
Provider Business Mailing Address
First Line : 1330 BEACON ST
Second Line : STE 324
City : BROOKLINE
State : MA
Zip : 02446-3203
Country : US
Telephone Number : 781-648-4972
Fax Number :
Provider Business Practice Location Address
First Line : 57 BEDFORD ST
Second Line : SUITE 230
City : LEXINGTON
State : MA
Zip : 02420-4502
Country : US
Telephone Number : 781-648-4972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 01/29/2020

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