Individual
MICHELLE MUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
40 CRESCENT ST, SUITE 101, WALTHAM, MA 02453-4313
(917) 208-5003
Mailing address
40 CRESCENT ST, SUITE 101, WALTHAM, MA 02453-4313
(917) 208-5003
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9448
MA
Other
Enumeration date
09/11/2009
Last updated
06/26/2013
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