Llerena-Quinn, Roxana

Llerena-Quinn, Roxana is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Llerena-Quinn, Roxana can be contacted via phone (617) 355-6703.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-6703
Fax: (617) 730-0319
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 4713 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4713 Massachusetts

Profile Details

NPI number 1508917709
LBN Legal business name Llerena-Quinn, Roxana
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Dec 28th, 2017 - about 7 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 1508917709 NPPES
Massachusetts MEDICAID 110023746A

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