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DR. MARSHA INA CHASKELSON PH.D.

Clinical Neuropsychologist

Lexington, Massachusetts

Provider NPI: 1639293681

Provider Information:
DR. MARSHA INA CHASKELSON PH.D.
Gender: F
Sole Proprietor


Practice Location:
76 BEDFORD ST SUITE 26 LEXINGTON, MA 02420 US
Tel: 781-863-5599  Fax: 781-863-2488

Business Mailing Address:
76 BEDFORD ST SUITE 26 LEXINGTON, MA 02420 US
Tel: 781-863-5599  Fax: 781-863-2488

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MA4208
X103T00000XBehavioral Health & Social Service Providers
Psychologist
MA4208
X103TB0200XBehavioral Health & Social Service Providers
Psychologist
MA4208
X103TC2200XBehavioral Health & Social Service Providers
Psychologist
MA4208

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD MAW10294MA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS MA - Page 1



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