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Organization

MATTHEW A PORTADIN, PSY.D., LLC

Active
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Organization

MATTHEW A PORTADIN, PSY.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW ANDREW PORTADIN PSY.D. (CLINICAL PSYCHOLOGIST)
(856) 701-5586
Entity
Organization

Contact information

Practice address
21 COCASSET ST, SUITE 3, FOXBORO, MA 02035-2996
(856) 701-5586
(508) 203-4718
Mailing address
91 CHURCH ST, MANSFIELD, MA 02048-2247
(856) 701-5586
(508) 203-4718

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9099
MA

Other

Enumeration date
07/26/2016
Last updated
07/26/2016
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