Jonathan Scott Runge, PSY.D.
NPI #1689730665 in Provincetown, Massachusetts
Provider Information
- NPI Number
- 1689730665
- Entity Type
- Individual
- Name
- Jonathan Scott Runge, PSY.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSY.D.
- Enumeration Date
- Dec 28, 2006
- Last Updated
- Jun 8, 2015
Practice Location
- Address
- 30 CONWELL ST
- City
- Provincetown
- State
- Massachusetts
- ZIP Code
- 02657-1548
- Phone
- (617) 901-1196
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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