Individual
MARYANNA HAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
50 PLEASANT ST, NORTHAMPTON, MA 01060-3909
(413) 584-6855
(413) 585-1376
Mailing address
86 THAYER HILL RD, WORTHINGTON, MA 01098-9711
(413) 238-0445
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2957
MA
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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