Individual
THERESA MARIA ELLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 RUSSELL ST, CAMBRIDGE, MA 02140-1313
(866) 504-9474
Mailing address
114 GLENVILLE AVE APT 15, ALLSTON, MA 02134-3326
(866) 504-9474
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MA
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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