Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mary Knorring Pantuhova, PSYD

Individual provider Clinical Psychologist · NPI 1497701197

Dr. Mary Knorring Pantuhova, PSYD is a Clinical Psychologist in Waban, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

91 Wyman St
Waban, MA 02468-1529
Phone: (617) 332-7596
Fax: (617) 663-6135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6733 (MA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 6733 (MA)

Record details

NPI number1497701197
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESDecember 8, 2009

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