Mary Pantuhova, Psy.d., LLC
Psychologist, Clinical in Waban, Massachusetts
1023284460- Practice location
- 91 Wyman St, Waban, MA 02468-1529
- Phone
- 617-332-7596
- Fax
- —
- Last updated
- May 6, 2008
Mary Pantuhova, Psy.d., LLC is a healthcare organization based in Waban, MA. Mary Pantuhova, Psy.d., LLC practices in Waban, MA. The NPI Number for Mary Pantuhova, Psy.d., LLC is 1023284460 and holds a License No. 6733 (MA). The current practice location address for Mary Pantuhova, Psy.d., LLC is 91 Wyman St, Waban, MA 02468-1529 and can be reached out via phone at 617-332-7596.
Provider Profile Details
- NPI Number
- 1023284460
- Provider Name
- Mary Pantuhova, Psy.d., LLC
- Provider Entity Type
- Organization
- Address
- 91 Wyman St, Waban, MA 02468-1529
- Phone Number
- 617-332-7596
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Mary Knorring Pantuhova, PSYD · Director · 617-332-7596
- Other Names
- Mary Pantuhova, Psy.d. (Former Legal Business Name)
- Provider Enumeration Date
- May 6, 2008
- Last Update Date
- May 6, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 91 Wyman St
Waban, MA 02468-1529 - City
- Waban
- State
- Massachusetts
- Zip
- 02468-1529
- Phone Number
- 617-332-7596
Provider Business Mailing Address Details
- Address
- 91 Wyman St
Waban, MA 02468-1529 - City
- Waban
- State
- MA
- Zip
- 02468-1529
- Phone Number
- 617-332-7596
License Information
- License Number
- 6733
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary Pantuhova, Psy.d., LLC?
The NPI number of Mary Pantuhova, Psy.d., LLC is 1023284460. It was assigned on May 6, 2008 and is currently active in the NPPES registry.
What is the specialty of Mary Pantuhova, Psy.d., LLC?
Mary Pantuhova, Psy.d., LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 6733.
Where does Mary Pantuhova, Psy.d., LLC practice?
The practice location is 91 Wyman St, Waban, MA 02468-1529. The office can be reached at 617-332-7596 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023284460 directly on the NPPES registry website.