Individual
LEE ANN MICHELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 CHARLES ST S, UNIT 11C, BOSTON, MA 02116
(508) 561-6603
Mailing address
1 CHARLES ST S UNIT 11C, BOSTON, MA 02116-5450
(508) 561-6603
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4096-PY-PR
MA
Other
Enumeration date
06/24/2018
Last updated
06/24/2018
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