Organization
MARY PANTUHOVA, PSY.D., LLC
Active
Other names
Mary Pantuhova, Psy.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY KNORRING PANTUHOVA PSY.D. (DIRECTOR)
(617) 332-7596
Entity
Organization
Contact information
Practice address
91 WYMAN ST, WABAN, MA 02468-1529
(617) 332-7596
Mailing address
91 WYMAN ST, WABAN, MA 02468-1529
(617) 332-7596
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6733
MA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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