Mary Pantuhova, PSY.D

NPI 1497701197 · on the registry since 2006

Practice

Address: 91 Wyman St
Waban, MA 02468
Phone: (617) 332-7596
Fax: (617) 663-6135
Organisation at this address: Mary Pantuhova, Psy.D., Llc
Center For Lifespan Development
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 103TC2200X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts