Individual
PETER SHEA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHC
Contact information
Practice address
1 CONSTITUTION PLZ, CHARLESTOWN, MA 02129-2025
(617) 724-5202
Mailing address
1 CONSTITUTION PLZ, CHARLESTOWN, MA 02129-2025
(617) 724-5202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11406
MA
Other
Enumeration date
07/15/2013
Last updated
03/02/2021
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