Individual
DR. ELLEN TIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
255 MAIN ST, FITCHBURG, MA 01420-4331
(978) 343-6957
(978) 343-0449
Mailing address
255 MAIN ST, FITCHBURG, MA 01420-4331
(978) 343-6957
(978) 343-0449
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6441
MA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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