Doctor Name: | RENA SOSLOW |
NPI Number: | 1134287428 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | LMHC 62 |
Business Practice Address: | 133 E Main St Marlborough, MA - 017522630 |
Business Phone Number: | 5084800092 |
Business Fax Number: | |
Mailing Address: | 8 Fox Meadow Ln, WAYLAND |
State: | MA |
Postal Code: | 017783211 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LMHC 62 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |