Mary Pantuhova, Psy.d., LLC
NPI #1023284460 in Waban, Massachusetts
Provider Information
- NPI Number
- 1023284460
- Entity Type
- Organization
- Organization Name
- Mary Pantuhova, Psy.d., LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 6, 2008
- Last Updated
- May 6, 2008
Practice Location
- Address
- 91 WYMAN ST
- City
- Waban
- State
- Massachusetts
- ZIP Code
- 02468-1529
- Phone
- (617) 332-7596
Authorized Official
- Name
- DR. MARY KNORRING PANTUHOVA, PSY.D.
- Title
- DIRECTOR
- Phone
- (617) 332-7596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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