Individual
DR. TREVOR H. BARESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.PHIL., PH.D.
Contact information
Practice address
89 SUMMER ST, MALDEN, MA 02148-2523
(203) 533-1222
Mailing address
89 SUMMER ST, MALDEN, MA 02148-2523
(203) 533-1222
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10501
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2014
Last updated
05/07/2018
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