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Clinical Neuropsychologist

Cambridge, Massachusetts

Provider NPI: 1376652552

Provider Information:
Gender: F
Sole Proprietor

Practice Location:
Tel: 617-497-9027  Fax: 617-497-1244

Business Mailing Address:
Tel: 617-497-9027  Fax: 617-497-1244

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MAPSY 7196
Y103T00000XBehavioral Health & Social Service Providers
N103TA0400XBehavioral Health & Social Service Providers
N103TA0700XBehavioral Health & Social Service Providers
N103TB0200XBehavioral Health & Social Service Providers
N103TC0700XBehavioral Health & Social Service Providers
N103TC1900XBehavioral Health & Social Service Providers
N103TM1800XBehavioral Health & Social Service Providers

Other Provider Identifiers:

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


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