Martin Kenneth Derusha, M.A. is a mental health counselor in Quincy, MA. Martin Kenneth Derusha, M.A. NPI is 1285969626. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
460 QUINCY AVE
QUINCY, MA
ZIP 02169-130
Phone: (617) 847-1980
Fax: (617) 774-1490
The enumeration date for this NPI number is 10/2/2009 and was last updated on 10/2/2009.