Individual
MRS. CONSTANCE AMES GILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
136 SUNSET AVE, AMHERST, MA 01002-2048
(413) 549-5034
Mailing address
136 SUNSET AVE, AMHERST, MA 01002-2048
(413) 549-5034
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1617
MA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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