Marie A Fusaro-davis PH.D.

NPI 1063486165 - Psychologist - 103TC0700X

NPI Details
NPI 1063486165
Gender Female
Enumeration Date 02/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
55 LAKE AVE N
DEPARTMENT OF PSYCHIATRY/PSYCHOLOGY
WORCESTER MA, 01655-0002, US
Phone (508) 856-4229
Fax
Business Location
PO BOX 62
TURNPIKE STATION
SHREWSBURY MA, 01545-0062, US
Phone (508) 334-8815
Fax (508) 334-5374
Toxanomy
Taxonomy Code 103TC0700X
License State Massachusetts
License Number 6297
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According to our database, Dr. Marie A Fusaro-davis PH.D. NPI is 1063486165, taxonomy code is 103TC0700X and license number is 6297, license state is located at Massachusetts. Marie A Fusaro-davis PH.D. physically located at 55 Lake Ave N, Worcester MA, 01655-0002. NPI Number Marie A Fusaro-davis PH.D. has the Individual type.

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1063486165 NPI number is provided on an as is basis without warranty of any kind. 1063486165 is maintained by the National Plan & Provider Enumeration System. The contents of Marie A Fusaro-davis PH.D. are for informational purposes only.