Individual
DR. MICHAEL R. OBOLENSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
13 WELBY RD, SUITE 2, NEW BEDFORD, MA 02745-1132
(508) 998-1115
(508) 998-1140
Mailing address
13 WELBY RD, SUITE 2, NEW BEDFORD, MA 02745-1132
(508) 998-1115
(508) 998-1140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3973
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500194
—
MA
Enumeration date
05/24/2006
Last updated
07/09/2007
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