Individual
DAVID BRICKLIN-SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 MILK STREET, BOSTON, MA 02109-3200
(617) 654-7300
(716) 461-7654
Mailing address
340 MAPLE ST, MARLBOROUGH, MA 01752-3200
(541) 521-2742
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10819
MA
Other
Enumeration date
10/01/2014
Last updated
11/27/2018
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