Individual
DR. RICHARD P COSTIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
30 SEVER ST, WORCESTER, MA 01609-2194
(508) 791-5145
Mailing address
30 SEVER ST, WORCESTER, MA 01609
(508) 791-5145
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6777
MA
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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