| NPI | 1023284460 |
|---|---|
| Former Legal Business Name | MARY PANTUHOVA, PSY.D. |
| Entity Type | Organization |
| Authorized Contact | MARY KNORRING PANTUHOVA Director 617-332-7596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 6733) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |