Individual
ABBY IRENE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
42 HIGH ST STE 2, MEDFORD, MA 02155-3864
(781) 350-4430
Mailing address
125 EDGEMERE RD APT 115, WEST ROXBURY, MA 02132-5340
(585) 478-1331
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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