Individual
RICHARD THOMAS MONAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
147 POWERS RD, SUDBURY, MA 01776-1043
(508) 653-6518
(978) 443-9660
Mailing address
147 POWERS RD, SUDBURY, MA 01776-1043
(508) 653-6518
(978) 443-9660
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 1367
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0507512
—
MA
01
—
712076
TUFTS HEALTH PLAN
MA
01
—
W01236
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/23/2006
Last updated
07/08/2007
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