Individual
SHIH YEE-MARIE TAN GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18 GROVE ST # 6, WELLESLEY, MA 02482-7705
(617) 326-5102
Mailing address
185 CAMBRIDGE ST FL 2, BOSTON, MA 02114-2790
(617) 643-2780
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
262376
MA
2084P0800X
Psychiatry Physician
Primary
A155011
CA
2084P0804X
Child & Adolescent Psychiatry Physician
262376
MA
2084P0804X
Child & Adolescent Psychiatry Physician
A155011
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2012
Last updated
08/29/2023
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