Individual
GEORGIA STATHOPOULOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
16 BLOSSOM ST, BOSTON, MA 02114-3104
(617) 643-1012
Mailing address
37 ST.. MARY'S ST., 5, BROOKLINE, MA 02446
(617) 738-5356
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9116
MA
Other
Enumeration date
05/04/2007
Last updated
03/03/2010
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