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Individual

DR. STEPHANIE MATOS-TABASHNECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
240 HEATH ST APT 102, BOSTON, MA 02130-1141
(248) 840-3186
Mailing address
240 HEATH ST APT 102, BOSTON, MA 02130-1141
(248) 840-3186

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
10142
MI
103TF0200X
Forensic Psychologist
Primary
10142
MI

Other

Enumeration date
05/13/2018
Last updated
05/13/2018
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