Provider Demographics
NPI:1750879383
Name:KLEIN, ROSEMARY (PHD)
Entity type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:
Last Name:KLEIN
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 1:38 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-6118
Mailing Address - Country:US
Mailing Address - Phone:781-894-4500
Mailing Address - Fax:781-894-4360
Practice Address - Street 1:WALTHAM COURT CLINIC
Practice Address - Street 2:38 LINDEN ST.,
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452
Practice Address - Country:US
Practice Address - Phone:781-894-4500
Practice Address - Fax:781-894-4360
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3330103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth