Individual
DR. ELLIOTT S. BURSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
51 AVON HILL ST, CAMBRIDGE, MA 02140-3609
(617) 547-4823
(617) 848-0168
Mailing address
51 AVON HILL ST, CAMBRIDGE, MA 02140-3609
(617) 547-4823
(617) 848-0168
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
781
MA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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