| Mary Pantuhova, Psy.d., Llc | |
|
91 Wyman St Waban MA 02468-1529 | |
| (617) 332-7596 | |
| Not Available |
| Full Name | Mary Pantuhova, Psy.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 91 Wyman St, Waban, Massachusetts |
| Authorized Official Name and Position | Mary Knorring Pantuhova (DIRECTOR) |
| Authorized Official Contact | 6173327596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Pantuhova, Psy.d., Llc 91 Wyman St Waban MA 02468-1529 Ph: (617) 332-7596 | Mary Pantuhova, Psy.d., Llc 91 Wyman St Waban MA 02468-1529 Ph: (617) 332-7596 |
| NPI Number | 1023284460 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023284460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6733 (Massachusetts) | Primary |
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