Individual
DR. MARY W HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
258 MAIN ST, SUITE 3, MEDFIELD, MA 02052-2041
(508) 359-2570
(508) 359-0175
Mailing address
258 MAIN ST, SUITE 3, MEDFIELD, MA 02052-2041
(508) 359-2570
(508) 359-0175
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8150
MA
Other
Enumeration date
03/29/2006
Last updated
01/19/2012
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