Individual
MARIA A NEIZVESTNAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
PRIMARY CARE BEHAVIORAL HEALTH, FITCHBURG FAMILY MEDICINE, FITCHBURG, MA 01420
(978) 343-5270
Mailing address
PRIMARY CARE BEHAVIORAL HEALTH, FITCHBURG FAMILY MEDICINE, FITCHBURG, MA 01420
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10000776
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2020
Last updated
08/14/2025
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