Individual
ANIS PICHARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPSY
Contact information
Practice address
95 PLEASANT ST # 1, LYNN, MA 01901-1524
(781) 581-4400
Mailing address
58 MT PLEASANT ST AP # 2, LYNN, MA 01902
(787) 207-6067
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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