Individual
MERRILL FOWLER MEAD-FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
93 UNION ST, SUITE 303A, NEWTON CENTRE, MA 02459-2244
(617) 969-9608
Mailing address
93 UNION ST, SUITE 303A, NEWTON CENTRE, MA 02459-2244
(617) 969-9608
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6053
MA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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