Individual
DR. JENNIFER JAMIESON BORTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1218 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138-3835
(857) 540-9882
Mailing address
1218 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138-3835
(857) 540-9882
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
8676
MA
103TC0700X
Clinical Psychologist
Primary
8676
MA
Other
Enumeration date
02/21/2007
Last updated
08/12/2015
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