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Individual

DR. DEBORAH FAY GREENWALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D. CLINICAL PSYCH

Contact information

Practice address
112 S GREAT RD, LINCOLN, MA 01773-4700
(781) 259-8122
(781) 259-3739
Mailing address
112 S GREAT RD, LINCOLN, MA 01773-4700
(781) 259-8122
(781) 259-3739

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2409
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
170824
MAGELLAN (MBC)
MA
01
2409
PSYCHOLOGIST LICENSE-HSP
MA
01
W02546
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/04/2006
Last updated
07/08/2007
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