Individual
DR. STEVEN CHARLES HENTOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
20 MAIN ST, SUITE 305A, NATICK, MA 01760-4525
(508) 651-3309
(508) 651-3306
Mailing address
20 MAIN ST, SUITE 305A, NATICK, MA 01760-4525
(508) 651-3309
(508) 651-3306
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3868
MA
103TC0700X
Clinical Psychologist
Primary
3868
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0516341
—
MA
Enumeration date
07/10/2006
Last updated
12/21/2010
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