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MS. MARY R SAN MARTINO

Psychoanalysis

Brookline, Massachusetts

Provider NPI: 1760492128

Provider Information:
MS. MARY R SAN MARTINO 
Gender: F
Not Sole Proprietor

Practice Location:
1170 BEACON ST  BROOKLINE, MA 02446 US
Tel: 617-738-6009  Fax: --

Business Mailing Address:
1170 BEACON ST  BROOKLINE, MA 02446 US
Tel: 617-738-6009  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TP0814XBehavioral Health & Social Service Providers
Psychologist
Psychoanalysis
MA102108

Other Provider Identifiers:

IssuerNumberStateType
1858190MA05
BCBSP01592MA01
MHN327418MA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







PSYCHOANALYSIS JOBS MA - Page 1



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