Healthcare Provider Details

I. General information

NPI: 1255124327
Provider Name (Legal Business Name): MS. MAY HORVATH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 BOSTON AVE
MEDFORD MA
02155-5801
US

IV. Provider business mailing address

143 KILSYTH RD
BOSTON MA
02135-7815
US

V. Phone/Fax

Practice location:
  • Phone: 617-627-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: