| Laura Derr, Psyd, Pc | |
|
1017 Turnpike St Suite 12c Canton MA 02021-2853 | |
| (781) 713-4707 | |
| (781) 713-4708 |
| Full Name | Laura Derr, Psyd, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1017 Turnpike St, Canton, Massachusetts |
| Authorized Official Name and Position | Laura S Derr (OWNER) |
| Authorized Official Contact | 7817134707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Derr, Psyd, Pc 1017 Turnpike St Suite 12c Canton MA 02021-2853 Ph: (781) 713-4707 | Laura Derr, Psyd, Pc 1017 Turnpike St Suite 12c Canton MA 02021-2853 Ph: (781) 713-4707 |
| NPI Number | 1669627444 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 05/01/2015 |
| Medicare PECOS PAC ID | 2264599943 |
|---|---|
| Medicare Enrollment ID | O20090324000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669627444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6680 (Massachusetts) | Primary |
| Provider Name | Laura S Derr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285668400 PECOS PAC ID: 3971494998 Enrollment ID: I20040322000175 |
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