Individual
DR. SANFORD MARVIN PORTNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
35 HELENE RD, WABAN, MA 02468-1024
(617) 965-2147
(617) 527-3538
Mailing address
35 HELENE RD, WABAN, MA 02468-1024
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
278
MA
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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