Individual
DR. PATRICIA M CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8 GROVE STREET, SUITE 303, WELLESLEY, MA 02482-7777
(781) 431-7323
Mailing address
35 PINE RIDGE ROAD, WAYLAND, MA 01778
(508) 655-4514
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7120
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11406342
CAQH PROVIDER ID
MA
01
—
416218
MAGELLAN
MA
01
—
7172338
AETNA
MA
01
—
W50940
MEDICARE
MA
01
—
WO5559
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/06/2006
Last updated
02/26/2008
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