Individual
MICHAEL DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 WYMAN ST, WABAN, MA 02468-1529
(617) 969-7440
Mailing address
91 WYMAN ST, WABAN, MA 02468-1529
(617) 969-7440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3556
MA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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