Cross, Robert C

Cross, Robert C is an individual health care provider with primary practice located at 225 Boston St Suite 306, Lynn MA 01904-3137. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cross, Robert C can be contacted via phone (617) 362-3139.

Contact Information

Primary practice address
225 Boston St Suite 306 Lynn MA 01904-3137
Phone: (617) 362-3139
Fax: (781) 592-3796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4068 Massachusetts

Profile Details

NPI number 1104827559
LBN Legal business name Cross, Robert C
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104827559 NPPES
Massachusetts MEDICAID 0517011

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