Individual
DR. MARY MARGARET BANDURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10 LANGLEY RD STE 200, NEWTON, MA 02459-1972
(401) 624-2895
Mailing address
481 NECK RD, TIVERTON, RI 02878-4011
(401) 624-2895
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
3643
MA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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