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Contact Information

MARK LOESCH, PhD
75 STATE ST FL 26
BOSTON, MA02109-1827
 Phone: 617-204-3500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARK LOESCH · (Male)

NPI Number 1215357587
Status Active
Credentials PhD
Entity Individual
Enumeration date 04/24/2014
Last updated 02/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 29157
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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