Individual
DR. SHANA M. PERRUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12 ESSEX ST, ANDOVER, MA 01810-3728
(617) 320-8435
Mailing address
12 ESSEX ST, ANDOVER, MA 01810-3728
(617) 320-8435
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9651
MA
Other
Enumeration date
05/02/2007
Last updated
06/18/2013
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