| Matthew A Portadin, Psy.d., Llc | |
|
21 Cocasset St Suite 3 Foxboro MA 02035-2996 | |
| (856) 701-5586 | |
| (508) 203-4718 |
| Full Name | Matthew A Portadin, Psy.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 21 Cocasset St, Foxboro, Massachusetts |
| Authorized Official Name and Position | Matthew Andrew Portadin (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8567015586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew A Portadin, Psy.d., Llc 91 Church St Mansfield MA 02048-2247 Ph: (856) 701-5586 | Matthew A Portadin, Psy.d., Llc 21 Cocasset St Suite 3 Foxboro MA 02035-2996 Ph: (856) 701-5586 |
| NPI Number | 1215480231 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 07/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215480231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 9099 (Massachusetts) | Primary |
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