Provider Demographics
NPI:1578700761
Name:CEDAR, ROBERT BRUCE (EDD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRUCE
Last Name:CEDAR
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 ELLIOT ST
Mailing Address - Street 2:SUITE 180L
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1157
Mailing Address - Country:US
Mailing Address - Phone:617-969-7600
Mailing Address - Fax:617-969-7646
Practice Address - Street 1:381 ELLIOT ST
Practice Address - Street 2:SUITE 180L
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02464-1157
Practice Address - Country:US
Practice Address - Phone:617-969-7600
Practice Address - Fax:617-969-7646
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-10
Last Update Date:2009-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPY 4063 PR103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist