Individual
MARI C BENNASAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
85 E NEWTON ST, M912, BOSTON, MA 02118-2340
(508) 303-6722
(617) 414-4792
Mailing address
85 E NEWTON ST, M912, BOSTON, MA 02118-2340
(508) 303-6722
(617) 414-4792
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6893
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0525987
—
MA
Enumeration date
07/28/2006
Last updated
07/08/2007
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