LAURA DERR, PSYD, PC


Address: 1017 Turnpike St, Suite 12c, Canton, MA 02021-2853
Phone: 7817134707

LAURA DERR, PSYD, PC (NPI# 1669627444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669627444
Entity Type Organization
Organization Name LAURA DERR, PSYD, PC
Practice Address 1017 Turnpike St
Suite 12c
Canton
MA 02021-2853
Practice Telephone 7817134707
Practice Fax Number 7817134708
Mailing Telephone 7817134707
Mailing Fax Number 7817134708
Enumeration Date 2008-11-20
Last Update Date 2015-05-01
Authorized Official Name LAURA S DERR (OWNER)
Authorized Official Telephone 7817134707
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6680 MA Behavioral Health & Social Service Providers

Office Location

Street Address 1017 TURNPIKE ST
SUITE 12C
City CANTON
State MA
Zip Code 02021-2853

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1942633839 Caitlin Reid Roache Psychologist 500 Chapman St Unit 203, Canton, MA 02021-2040 2013-08-14
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1255611711 Ryan Pecsenye Psychologist 7361 Windsor Woods Dr, 1c, Canton, MI 48187-2285 2011-08-27
1780829945 Charles Orvis Hunter Psychologist 4450 Belden Village Ave Nw, Suite 205, Canton, OH 44718 2008-12-02
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1689865040 Martin Steven Kurylowicz Psychologist 4005 Cornerstone Dr, Canton, MI 48188-7911 2007-08-09
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Competitor

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City CANTON
Zip Code 02021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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