Individual
DONALD TETENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
100 LEDGEWOOD PL, SUITE 202, ROCKLAND, MA 02370-1075
(800) 535-5526
(781) 871-5973
Mailing address
30 HARLOW DR, AMHERST, MA 01002-1410
(413) 549-5727
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6029
MA
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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