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Individual

DR. MICHAEL F. DORSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, BCBA

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
5070
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
5070
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W04783
BCBS
MA
Enumeration date
08/29/2007
Last updated
03/27/2012
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