NPI Index

MARIA NEIZVESTNAYA, PSYD

Psychologist - Clinical

Active Individual
NPI: 1063039121

Practice Address

PRIMARY CARE BEHAVIORAL HEALTH
FITCHBURG FAMILY MEDICINE
Fitchburg, MA 01420

Phone: (978) 343-5270

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Psychologist - Clinical 103TC0700X Yes PSY10000776 (MA)

Frequently Asked Questions

NPI 1063039121 is the National Provider Identifier for MARIA NEIZVESTNAYA, PSYD, a Psychologist - Clinical provider located in Fitchburg, MA. This NPI was enumerated on July 6, 2020.
MARIA NEIZVESTNAYA, PSYD practices at PRIMARY CARE BEHAVIORAL HEALTH, FITCHBURG FAMILY MEDICINE, Fitchburg, MA 01420.

Quick Facts

NPI
1063039121
Type
Individual
Enumerated
Jul 6, 2020
Last Updated
Aug 14, 2025

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