Mary Louise Prevey PH.D.

NPI 1437367828 - Clinical Neuropsychologist - 103G00000X

NPI Details
NPI 1437367828
Gender Female
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
236 BOSTON POST RD
BOX 906
ORANGE CT, 06477-3236, US
Phone (203) 795-9480
Fax (203) 484-0694
Business Location
2 OLD POST RD
NORTHFORD CT, 06472-1004, US
Phone (203) 484-0333
Fax (203) 484-0694
Toxanomy
Taxonomy Code 103G00000X
License State Connecticut
License Number 896
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According to our database, Dr. Mary Louise Prevey PH.D. NPI is 1437367828, taxonomy code is 103G00000X and license number is 896, license state is located at Connecticut. Mary Louise Prevey PH.D. physically located at 236 Boston Post Rd, Orange CT, 06477-3236. NPI Number Mary Louise Prevey PH.D. has the Individual type.

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1437367828 NPI number is provided on an as is basis without warranty of any kind. 1437367828 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Louise Prevey PH.D. are for informational purposes only.