Organization
PEIFER PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA LYNNE PEIFER PSY.D. (OWNER)
(617) 213-0747
Entity
Organization
Contact information
Practice address
105 GREENLODGE ST, DEDHAM, MA 02026-6220
(617) 213-0747
Mailing address
105 GREENLODGE ST, DEDHAM, MA 02026-6220
(617) 213-0747
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9248
MA
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9248
PSYCHOLOGY LICENSE NUMBER
MA
Enumeration date
02/16/2013
Last updated
02/18/2021
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