Provider Demographics
NPI:1538342365
Name:PANTALONE, DAVID WILLIAM (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLIAM
Last Name:PANTALONE
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Gender:M
Credentials:PHD
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Mailing Address - Street 1:100 MORRISSEY BLVD
Mailing Address - Street 2:UMASS-BOSTON, DEPARTMENT OF PSYCHOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02125-3300
Mailing Address - Country:US
Mailing Address - Phone:617-287-6353
Mailing Address - Fax:617-287-6336
Practice Address - Street 1:100 MORRISSEY BLVD
Practice Address - Street 2:UMASS-BOSTON, DEPARTMENT OF PSYCHOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02125-3300
Practice Address - Country:US
Practice Address - Phone:617-287-6353
Practice Address - Fax:617-287-6336
Is Sole Proprietor?:No
Enumeration Date:2007-12-15
Last Update Date:2013-05-06
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Provider Licenses
StateLicense IDTaxonomies
MA9246103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral