Individual
DR. JOHN MONROE CUETARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
22 MILL ST, SUITE 407, ARLINGTON, MA 02476-4784
(781) 488-3294
(781) 488-3254
Mailing address
41 PITCHER AVE, MEDFORD, MA 02155-2106
(781) 488-3294
(781) 488-3254
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7201
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1895613
—
MA
Enumeration date
01/16/2007
Last updated
07/08/2007
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