Individual
DR. EDWARD J FEDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
DAMONMILL SQUARE, 2H-2 NORTH, CONCORD, MA 01742
(978) 635-0400
Mailing address
PO BOX 2058, ACTON, MA 01720-6058
(978) 635-0400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2614
MA
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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