Individual
DR. AILA JESSE MCCUTCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
93 UNION STREET, SUITE 320 THE CENTER FOR COGNITIVE THERAPY, NEWTON CENTRE, MA 02459
(617) 527-3041
Mailing address
93 UNION ST, SUITE 303C, NEWTON CENTRE, MA 02459-2244
(617) 527-3041
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4956
MA
103T00000X
Psychologist
987
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500623
—
MA
01
—
W04740
BCBS MA
MA
Enumeration date
12/07/2005
Last updated
10/22/2010
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