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Individual

STEPHANIE A ADLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1093 BEACON ST, SUITE 403, BROOKLINE, MA 02446-5695
(617) 731-8007
Mailing address
213 JACKSON ST, NEWTON, MA 02459
(617) 731-8007

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2496
MA
103TH0100X
Health Service Psychologist
Primary
2496
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0509817
MA
Enumeration date
11/22/2006
Last updated
04/12/2011
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