Individual
PENNY ANN PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
23 PLEASANT ST, NEWTON, MA 02459-1836
(617) 332-4141
(617) 332-8221
Mailing address
23 PLEASANT ST, NEWTON, MA 02459-1836
(617) 332-4141
(617) 332-8221
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4421
MA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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