Individual
AVA BRY PENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 SALISBURY RD, BROOKLINE, MA 02445-2104
(617) 232-1080
Mailing address
29 SALISBURY RD, BROOKLINE, MA 02445-2104
(617) 232-1080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
489
MA
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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