| Sunny Dutra, Ph.d., Llc | |
|
500 Victory Rd Ste 400 Quincy MA 02171-3139 | |
| (617) 302-6849 | |
| Not Available |
| Full Name | Sunny Dutra, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 500 Victory Rd Ste 400, Quincy, Massachusetts |
| Authorized Official Name and Position | Sunny Dutra (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6173026849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunny Dutra, Ph.d., Llc 500 Victory Rd Ste 400 Quincy MA 02171-3139 Ph: (617) 302-6849 | Sunny Dutra, Ph.d., Llc 500 Victory Rd Ste 400 Quincy MA 02171-3139 Ph: (617) 302-6849 |
| NPI Number | 1902579956 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902579956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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