Laura Seely Derr is a Clinical in Roslindale, Massachusetts. Laura Seely Derr practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laura Seely Derr is 1285668400. The last update date is 2020-08-10.
Laura Seely Derr's current location address is 30 Neponset Ave, Roslindale, Massachusetts. You can contact this provider via phone number 7817134707. The mailing address for Laura Seely Derr is 30 Neponset Ave, Roslindale, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Seely Derr |
|---|---|
| Address | 30 Neponset Ave, Roslindale, Massachusetts |
| Phone Number | 7817134707 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1285668400 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2020-08-10 |
Provider Mailing Address Detail
| Address | 30 Neponset Ave |
|---|---|
| City | Roslindale |
| State | Massachusetts (MA) |
| Post Code | 21312123 |
| Phone Number | 7817134707 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6680 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 798610 | MA | TUFTS HMO | |
| W05804 | MA | BCBS HMO PPO FEDERAL | |
| 524069 | MA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Laura Seely Derr by the Centers for Medicare & Medicaid Services?
The Laura Seely Derr has been issued the NPI (National Provider Identifier) 1285668400. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Laura Seely Derr is physically located?
The Laura Seely Derr is physically situated at the following address: 30 Neponset Ave, Roslindale, MA, 21312123.
What is Laura Seely Derr's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Laura Seely Derr's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285668400 to Laura Seely Derr?
The Laura Seely Derr received its 1285668400 assignment from the Centers for Medicare & Medicaid Services on 2006-07-11.
As of what date was the information pertaining to Laura Seely Derr, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Laura Seely Derr, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-10.