MR. Samuel Mark Migdole, ED.D

NPI #1407932338 in Beverly, Massachusetts

Provider Information

NPI Number: 1407932338
Entity Type: Individual
Name: MR. Samuel Mark Migdole, ED.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: ED.D
Enumeration Date: Oct 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 23 BROADWAY
City: Beverly
State: Massachusetts
ZIP Code: 01915-4417
Phone: (978) 922-2280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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