Individual
EDUARDO M. BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
235 MAPLE ST, HOLYOKE, MA 01040-5123
(413) 532-0389
(413) 534-3238
Mailing address
29 PINE HILL RD, EASTHAMPTON, MA 01027-9760
(413) 203-1450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3644
MA
Other
Enumeration date
04/13/2007
Last updated
03/03/2010
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