location
search-icon
person
Dr. Mary Knorring Pantuhova, PSYD
Clinical Child & Adolescent Psychologist in Waban, Massachusetts
NPI 1497701197

Mary Knorring Pantuhova is a Clinical Child & Adolescent Psychologist based in Waban, MA and is specialized in Clinical Child & Adolescent. Mary Knorring Pantuhova practices in Waban, MA and has the professional credentials of PSYD. The NPI Number for Mary Knorring Pantuhova is 1497701197 and holds a License No. 6733 (Massachusetts).

The current practice location address for Mary Knorring Pantuhova is 91 Wyman St, Waban, MA and can be reached out via phone at 617-332-7596 and via fax at 617-663-6135.

Location: 91 Wyman St, Waban, MA, 02468-1529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497701197
Provider Name
Mary Knorring Pantuhova
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
91 Wyman St, Waban, MA, 02468-1529
Phone Number
617-332-7596
Fax Number
617-663-6135
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
W40013 01 MA MEDICARE
1497701197 01 MA NPI
institution
Provider Business Practice Location Address Details
Address
91 Wyman St
City
Waban
State
Massachusetts
Zip
02468-1529
Phone Number
617-332-7596
Fax Number
617-663-6135
person
Provider Business Mailing Address Details
Address
91 Wyman St
City
Waban
State
Massachusetts
Zip
02468-1529
Phone Number
617-332-7596
Fax Number
617-663-6135
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
6733 (Massachusetts)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
103TC2200X
License No.
6733 (Massachusetts)
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.