Individual
ELEANOR B. PARADISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10 LANGLEY RD, SUITE 401, NEWTON CENTRE, MA 02459-1972
(617) 969-7876
(617) 558-1206
Mailing address
30 GAMMONS RD, WABAN, MA 02468-1216
(617) 332-3112
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1207
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W02743
BLUECROSSBLUESHIELD OF MA
MA
Enumeration date
01/13/2007
Last updated
07/08/2007
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