Individual
DR. MANOBALDO MARCOS AMARAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
390 MASSACHUSETTS AVE, ARLINGTON, MA 02474-6799
(857) 472-4512
Mailing address
111 KITTREDGE ST, ROSLINDALE, MA 02131-3504
(617) 327-8783
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7884
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020595820-01
PROVIDER
MA
01
—
032608609
PROVIDER
MA
05
—
0501565
—
MA
01
—
456369000
PROVIDER
MA
01
—
463398
PROVIDER
MA
01
—
W 06139
PROVIDER
MA
Enumeration date
10/29/2006
Last updated
07/09/2007
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