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Contact Information

MARY Y SA, PSY.D.
61 LINCOLN ST STE 309
FRAMINGHAM, MA01702-8264
 Phone: 612-655-3942
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY Y SA · (Female)

NPI # 1912095761
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 10/10/2006
Last updated 03/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # 10871
  • MN License # LP4378
  • NM License # 1527
  • NM License # PSY-RXC0068
  • MN Medicaid 438527600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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