Individual
ELENA PASTERNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 BOWDOIN SQ FL 7, BOSTON, MA 02114-2927
(617) 726-3647
Mailing address
2337 SW ARCHER RD APT 4068, GAINESVILLE, FL 32608-1028
(516) 458-2803
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
11586
MA
Other
Enumeration date
07/08/2021
Last updated
10/14/2021
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