Individual
DR. DAVID W. FENTRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
50 N 2ND ST, NEW BEDFORD, MA 02740-6249
(508) 993-1377
(508) 999-7795
Mailing address
50 N 2ND ST, NEW BEDFORD, MA 02740-6249
(508) 993-1377
(508) 999-7795
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
MA 3487
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0514179
—
MA
Enumeration date
08/01/2006
Last updated
07/08/2007
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