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Individual

MARTHA B BOSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
1350 EDGMONT AVE, SUITE 2575, CHESTER, PA 19013-3962
(302) 547-4956
Mailing address
1350 EDGMONT AVE, SUITE 2575, CHESTER, PA 19013-3962
(302) 547-4956

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
B1-0000370
DE
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PS005955L
PA

Other

Enumeration date
03/18/2008
Last updated
02/26/2010
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