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Individual provider · Clinical Psychologist · Cambridge, MA

NPI

1548637572

Type

Individual (Type 1)

Primary specialty

Clinical Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC0700X

License number

11071 (MA)

Sex

Female

Sole proprietor

Yes

Enumerated

2015-08-25

Last updated

2019-07-12