Individual
LEAH ANN PERNICIARO - BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
13 BOWDOIN STREET, SUITE 1 A/B, BOSTON, MA 02114
(508) 852-1805
Mailing address
13 BOWDOIN STREET, SUITE 1 A/B, BOSTON, MA 02114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
10213
MA
Other
Enumeration date
05/23/2012
Last updated
07/01/2021
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