Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 8240 | MA |
Y | 103TC0700X | Clinical Psychologist | 8240 | MA |
NPI | 1013061365 |
---|---|
Provider Name | Sara Orozco |
First Address | Needham, MA 02494-1608 |
Second Address | Needham, MA 02494-1608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 23/04/2020 |