Individual
DEBORAH ANN FODERINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3610 MYSTIC VALLEY PKWY, N1413, MEDFORD, MA 02155-5757
(781) 396-1382
Mailing address
3610 MYSTIC VALLEY PKWY, N1413, MEDFORD, MA 02155-5757
(781) 396-1382
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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