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

Individual provider Clinical Psychologist · NPI 1720634587

Dr. Matthew E Fasano, PSYD is a Clinical Psychologist in Waltham, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2019
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

9 Hope Ave
Waltham, MA 02453-2741
Phone: (781) 216-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Longwood Ave, Boston, MA 02115-5724 — (617) 355-6000

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 11129 (MA)

Record details

NPI number1720634587
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 16, 2019
Last updated in NPPESNovember 6, 2019

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