Active NPIIndividual providerSole proprietor

Dr. Laura S Derr, PSYD

Psychologist, Clinical in Canton, Massachusetts

NPI Number1285668400
Practice location
1017 Turnpike St., Suite 12C, Canton, MA 02021-2847
Fax
781-713-4708
Last updated
August 10, 2020

Laura Seely Derr is a Psychologist, Clinical based in Canton, MA. Laura Seely Derr practices in Canton, MA and has the professional credentials of PSYD. The NPI Number for Laura Seely Derr is 1285668400 and holds a License No. 6680 (MA). The current practice location address for Laura Seely Derr is 1017 Turnpike St., Suite 12C, Canton, MA 02021-2847 and can be reached out via phone at 781-713-4707 and via fax at 781-713-4708.

Provider Profile Details

NPI Number
1285668400
Provider Name
Laura Seely Derr
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1017 Turnpike St., Suite 12C, Canton, MA 02021-2847
Phone Number
781-713-4707
Fax Number
781-713-4708
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 11, 2006
Last Update Date
August 10, 2020
Certification Date
August 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1017 Turnpike St.
Suite 12C
Canton, MA 02021-2847
City
Canton
Zip
02021-2847
Phone Number
781-713-4707
Fax Number
781-713-4708
Canton, MA 02021Get directions →

Provider Business Mailing Address Details

Address
30 Neponset Ave
Roslindale, MA 02131-2123
City
Roslindale
State
MA
Zip
02131-2123
Phone Number
781-713-4707

License Information

License Number
6680
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Laura S Derr, PSYD?

The NPI number of Dr. Laura S Derr, PSYD is 1285668400. It was assigned on July 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Laura S Derr, PSYD?

Dr. Laura S Derr, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 6680.

Where does Dr. Laura S Derr, PSYD practice?

The practice location is 1017 Turnpike St., Suite 12C, Canton, MA 02021-2847. The office can be reached at 781-713-4707 (phone) or 781-713-4708 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285668400 directly on the NPPES registry website.

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