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Individual

DR. PAMELA STACEY FRIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
5 EMERSON PLACE, PSYCHOLOGY ASSESSMENT CENTER E05-105, BOSTON, MA 02114
(617) 726-2977
(617) 724-3726
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7989
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W06146
BCBS MA
MA
Enumeration date
07/19/2006
Last updated
07/08/2007
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