Individual
DR. DONNA L PODOREFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1400 CENTRE ST, SUITE 105, NEWTON CENTER, MA 02459-2454
(617) 965-7034
(617) 965-7979
Mailing address
1400 CENTRE ST, SUITE 105, NEWTON CENTER, MA 02459-2454
(617) 965-7034
(617) 965-7979
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6940
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275862
VALUE OPTIONS
MA
01
—
8415-01
PACIFICARE BEHAVIORAL HEA
MA
01
—
W05509
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/16/2006
Last updated
07/08/2007
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