Individual provider · Type 1 NPI

Mary Knorring Pantuhova, PSY.D.

Clinical Psychologist · Waban, MA

NPI number 1497701197 Active

Practice location

91 Wyman St
Waban, MA 02468-1529

Fax (617) 663-6135

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6733 (MA)
Clinical Child & Adolescent Psychologist 103TC2200X6733 (MA)

Clinical Psychologist: 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 discip…

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About NPI 1497701197

Mary Knorring Pantuhova, PSY.D.'s National Provider Identifier is 1497701197, issued on May 25, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Waban, MA. The record was last updated on Dec 8, 2009.