Most Relevant Information
Provider Data
| NPI Number: | 1003236233 |
| Provider Name: | LAURA RICHARDSON |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 10482 |
Most Important Dates
| Enumeration Date: | 04/28/2014 |
| Last Updated: | 03/24/2017 |
Provider Practice Location
55 FRUIT ST
BOSTON
MA
021142621
Practice Location Phone/Fax
| Phone: | 6177245600 |
| Fax: |
Provider Mailing Location
55 FRUIT ST
BOSTON
MA
021142621
Provider Mailing Phone/Fax
| Phone: | 6177246300 |
| Fax: |