Individual
MARIA LUISA VICTORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
370 WASHINGTON ST, BROOKLINE, MA 02445-6874
(617) 277-5878
Mailing address
76 COLUMBIA ST # 2, BROOKLINE, MA 02446-2432
(617) 277-5878
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7218
MA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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