Organization
MARY PANTUHOVA, PSY.D., LLC
Active
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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