Individual
MEGAN E. BRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 LINCOLN ST, #134, WORCESTER, MA 01605-1901
(413) 584-4040
Mailing address
605 LINCOLN ST, #134, WORCESTER, MA 01605-1901
(413) 584-4040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10193
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/15/2015
Last updated
04/20/2017
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