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Individual

DR. RICHARD LOUIS PISANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
745 FALMOUTH RD, HYANNIS, MA 02601-2316
(508) 771-3130
(508) 771-3144
Mailing address
745 FALMOUTH RD, HYANNIS, MA 02601-2316
(508) 771-3130
(508) 771-3144

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1832
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1832
STATE ID
MA
Enumeration date
01/05/2006
Last updated
07/09/2007
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