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Organization

BAYSTATE DEVELOPMENTAL BEHAVIORAL PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHANNON KAY (CHIEF AND PEDIATRIC PSYCHOLOGIST)
(413) 794-0316
Entity
Organization

Contact information

Practice address
50 WASON AVE, 1ST. FLOOR, SPRINGFIELD, MA 01107-1274
(413) 794-0316
Mailing address
50 WASON AVE, 1ST. FLOOR, SPRINGFIELD, MA 01107-1274

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
03/29/2016
Last updated
03/29/2016
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