Mary Pantuhova, Psy.D., Llc in Waban - Clinical
Mary Pantuhova, Psy.D., Llc - NPI 1023284460
Mary Pantuhova, Psy.D., Llc is a Clinical in Waban, Massachusetts. Mary Pantuhova, Psy.D., Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Pantuhova, Psy.D., Llc is 1023284460. The last update date is 2008-05-06.
Mary Pantuhova, Psy.D., Llc's current location address is 91 Wyman St, Waban, Massachusetts. You can contact this provider via phone number 6173327596. The mailing address for Mary Pantuhova, Psy.D., Llc is 91 Wyman St, Waban, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mary Pantuhova, Psy.D., Llc |
|---|---|
| Address | 91 Wyman St, Waban, Massachusetts |
| Phone Number | 6173327596 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Pantuhova Knorring Mary |
| Credentials | PSY.D. |
| Telephone Number | 6173327596 |
NPI Number Detail
| NPI Number | 1023284460 |
|---|---|
| Provider Enumeration Date | 2008-05-06 |
| Last Updated Date | 2008-05-06 |
Provider Mailing Address Detail
| Address | 91 Wyman St |
|---|---|
| City | Waban |
| State | Massachusetts (MA) |
| Post Code | 24681529 |
| Phone Number | 6173327596 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6733 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Pantuhova, Psy.D., Llc by the Centers for Medicare & Medicaid Services?
The Mary Pantuhova, Psy.D., Llc has been issued the NPI (National Provider Identifier) 1023284460, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mary Pantuhova, Psy.D., Llc is physically located?
The Mary Pantuhova, Psy.D., Llc is situated at the following address: 91 Wyman St, Waban, MA 24681529.
What is Mary Pantuhova, Psy.D., Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Pantuhova, Psy.D., Llc is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023284460 to Mary Pantuhova, Psy.D., Llc?
The Centers for Medicare & Medicaid Services assigned the 1023284460 to Mary Pantuhova, Psy.D., Llc on 2008-05-06.
As of what date were the details related to Mary Pantuhova, Psy.D., Llc most recently updated or revised?
The information pertaining to Mary Pantuhova, Psy.D., Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-06.
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