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Individual

DR. MAYTE FORTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1183
Mailing address
234 BROADWAY STE 2, CAMBRIDGE, MA 02139-1947
(617) 758-8485

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11886
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11886
PSYCHOLOGIST LICENSE NUMBER
MA
Enumeration date
05/26/2016
Last updated
09/01/2022
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