Individual
DR. MARTHA MONAHAN
Active
Individual
DR. MARTHA MONAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6800
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015589
PBH
MA
05
—
1895010
—
MA
01
—
42712
MAGELLAN
MA
01
—
467505
TUFTS
MA
01
—
W05438
BCBS
MA
Enumeration date
08/24/2006
Last updated
07/09/2007
Update your record
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