Individual
DR. MARK PEYTON BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1218 MASSACHUSETTS AVE STE 3, CAMBRIDGE, MA 02138-3835
(617) 299-9913
Mailing address
1218 MASSACHUSETTS AVE STE 3, CAMBRIDGE, MA 02138-3835
(617) 299-9913
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10000947
MA
Other
Enumeration date
08/19/2020
Last updated
12/03/2025
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