Mark A Deyab, LICSW

NPI #1104907732 in Waltham, Massachusetts

Provider Information

NPI Number: 1104907732
Entity Type: Individual
Name: Mark A Deyab, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LICSW
Enumeration Date: Oct 18, 2006
Last Updated: Mar 17, 2009

Practice Location

Address: 20 HOPE AVE
Address 2: G-05
City: Waltham
State: Massachusetts
ZIP Code: 02453-2721
Phone: (781) 799-3949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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