Individual
DR. MARY PHILIPPA BREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
91 WYMAN ST, WABAN, MA 02468-1529
(617) 244-1881
Mailing address
91 WYMAN ST, WABAN, MA 02468-1529
(617) 244-1881
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7493
MA
103TC0700X
Clinical Psychologist
7493
MA
103TC2200X
Clinical Child & Adolescent Psychologist
7493
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06108
BCBS PROVIDER NO.
MA
Enumeration date
03/18/2007
Last updated
09/11/2025
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