Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 3747 | MA |
NPI | 1023256336 |
---|---|
Provider Name | Dr. Maria Carmel Gurucharri |
First Address | Boston, MA 02116 |
Second Address | Boston, MA 02116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2009 |
Last Update Date | 23/01/2009 |