Individual
DR. AMY R. PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11 DEERFIELD ST, BOSTON, MA 02215-5600
(202) 489-4934
Mailing address
PO BOX 15066, BOSTON, MA 02215-0002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9337-PY-PR
MA
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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