Individual
DR. ANDREA WARNICK MASTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1040 GREAT PLAIN AVE, NEEDHAM, MA 02492
(781) 449-4215
(781) 453-9853
Mailing address
1040 GREAT PLAIN AVE, NEEDHAM, MA 02492
(781) 449-4215
(781) 453-9853
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3607
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
779581
TUFTS
—
01
—
W03657
BC
—
Enumeration date
10/04/2006
Last updated
07/08/2007
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