Individual
MR. DONALD RAYMOND MOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
27 WATER ST., SUITE 405, WAKEFIELD, MA 01880
(781) 246-4570
(781) 246-1614
Mailing address
27 WATER ST., SUITE 405, WAKEFIELD, MA 01880
(781) 246-4570
(781) 246-1614
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4496
MA
103TC0700X
Clinical Psychologist
4496
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4496
PSYCHOLOGIST LICENSE
MA
Enumeration date
09/02/2005
Last updated
05/15/2013
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