Individual
PATRICIA ANNE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
91 WYMAN STREET, WABAN, MA 02468
(617) 244-1881
Mailing address
428 POINT RD, MARION, MA 02738
(508) 748-3310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6507
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W05362
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/16/2007
Last updated
07/08/2007
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