Individual
DR. ILYSE L. GINBERG-NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
12 CEDAR TER, WELLESLEY HILLS, MA 02481-5437
(847) 738-0022
(781) 235-1877
Mailing address
935 GREAT PLAIN AVE # 197, NEEDHAM, MA 02492-3031
(847) 738-0022
(781) 235-1877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9120
MA
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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