Individual
PRAXEDIS VONBALDEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
(617) 425-2043
Mailing address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
(617) 425-2043
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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