Individual
DR. HANYA HARRIS BLUESTONE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
185 MAIN ST, SPENCER, MA 01562-1755
(774) 239-0088
(508) 799-9379
Mailing address
8 BLACKTHORN DRIVE, WORCESTER, MA 01609
(774) 239-0088
(508) 799-9379
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7130
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2098796
CIGNA
MA
01
—
461327
TUFTS
MA
01
—
W06136
BLUE SHIELD
MA
Enumeration date
06/06/2006
Last updated
07/08/2007
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