Individual
DR. SUNNY JUSTINE DUTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
500 VICTORY RD STE 400, QUINCY, MA 02171-3139
(617) 302-6849
Mailing address
500 VICTORY RD STE 400, QUINCY, MA 02171-3139
(617) 302-6849
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11009
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2013
Last updated
07/27/2021
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