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Individual

MICHAEL MALISZEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
127 FISKE ST, TEWKSBURY, MA 01876-1117
(978) 851-3101
Mailing address
127 FISKE ST, TEWKSBURY, MA 01876-1117
(978) 851-3101

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6621
MA
103TC0700X
Clinical Psychologist
990
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0525227
MA
Enumeration date
06/28/2006
Last updated
07/08/2007
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