Provider Demographics
NPI:1033472188
Name:CAJDRIC-VRHOVAC, AIDA (PHD)
Entity Type:Individual
Prefix:DR
First Name:AIDA
Middle Name:
Last Name:CAJDRIC-VRHOVAC
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 ROCKLAND ST STE 7
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-2226
Mailing Address - Country:US
Mailing Address - Phone:718-826-8228
Mailing Address - Fax:781-826-0965
Practice Address - Street 1:24 ROCKLAND ST STE 7
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-2226
Practice Address - Country:US
Practice Address - Phone:781-826-8228
Practice Address - Fax:781-826-0965
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9536103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical