Lisa A Cosgrove, PhD
Psychologist in Cambridge, MA. Individual provider (NPI-1).
NPI number1982199816
StatusActive
Last updated in NPPESJun 23, 2018
Details
- NPI
- 1982199816
- Entity type
- Individual (NPI-1)
- Name
- Lisa A Cosgrove
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2018
- Last updated
- Jun 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 6171-PY-PR | MA | Yes |
Practice location
415 BroadwayCambridge, MA 02138-4278
Phone 857-998-8729
Mailing address
415 BroadwayCambridge, MA 02138-4278
Phone 617-287-7748
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