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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MATTHEW E FASANO, PSYD

Active

DR. MATTHEW E FASANO, PSYD is a Clinical Psychologist healthcare provider located in WALTHAM, Massachusetts. NPI 1720634587 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · WALTHAM, MA

Registration Details

NPI Number
1720634587
Provider Type
Individual
Gender
Male
NPI Issued
Aug 16, 2019 (6.9680453212471 yrs)
Last Updated
Nov 6, 2019
License
11129 (MA)

Practice Information

Address
9 HOPE AVE
WALTHAM, MA, 024532741
Browse MA providers · Browse ZIP 02453
Phone
7812162100
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in WALTHAM, MA

Name Credential NPI
DR. JOSEPH THOMAS COYLE PH.D. 1043320419
DR. ELIZABETH LIPMAN LEONARD PHD 1629163381
RONALD MOLIN PH.D. 1831271600
DR. NORAH K HASS PSY.D. 1154499424
DR. STEFI GAIL RUBIN PH.D. 1457402794
MS. STEPHANIE HOWARD PH.D. 1982748125
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.