Search › Massachusetts › 103TC0700X
Marussia Role, PSYD
NPI 1447628045 · on the registry since 2015 · sole proprietor
Practice
- Address
- 11 Beech St
Cambridge, MA 02140 - Phone
- (617) 418-1286
Additional practice sites
- 2712 Telegraph Ave, Berkeley, CA
- 11 Beech St Apt 3, Cambridge, MA
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 390200000X
- Licence states on file
- MA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts