MEDICARE: DR. APARNA RAO 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
1	103G00000X	Clinical Neuropsychologist	9535	MA
2	103TC0700X	Clinical Psychologist	9535	MA

General Provider Information

NPI Number	:	1740513886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. APARNA RAO PH.D.

Provider Business Mailing Address
First Line	:	75 ARLINGTON ST
Second Line	:	SUITE 500
City	:	BOSTON
State	:	MA
Zip	:	02116-3936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 ARLINGTON ST
Second Line	:	SUITE 500
City	:	BOSTON
State	:	MA
Zip	:	02116-3936
Country	:	US
Telephone Number	:	617-834-4507
Fax Number	:

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

Provider Enumeration Date	:	09/08/2009
Last Update Date	:	12/14/2012

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Directions to “ DR. APARNA RAO PH.D.” Practice Location

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