Individual
MS. AMY HELENA FARABAUGH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL S50-4, BOSTON, MA 02114-2621
(617) 726-1629
(617) 724-3028
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
7944
MA
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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