Individual
DR. BENNETT I TITTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
30 BOSTON ST, LYNN, MA 01904-2540
(781) 599-3109
(781) 599-3162
Mailing address
47 CROSMAN AVE, SWAMPSCOTT, MA 01907-1412
(781) 581-9547
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3194
MA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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