Individual
DR. JANE E. MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
188 PARKER ST, NEWTON, MA 02459-2551
(617) 965-5615
(617) 964-6369
Mailing address
188 PARKER ST, NEWTON, MA 02459-2551
(617) 965-5615
(617) 964-6369
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3774
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0521256
—
MA
01
—
709918
TUFTS HEALTH PLAN
MA
01
—
W03835
BLUECROSS BLUESHIELD
MA
Enumeration date
02/10/2006
Last updated
10/04/2013
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