Individual
DR. STEPHANIE T MACHELL
Active
Individual
DR. STEPHANIE T MACHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7720
MA
103TC2200X
Clinical Child & Adolescent Psychologist
7720
MA
103TH0100X
Health Service Psychologist
7720
MA
103TR0400X
Rehabilitation Psychologist
7720
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500224
—
MA
01
—
406945
TUFTS HEALTH PLAN
MA
01
—
W05932
BLUE CROSS OF MA
MA
Enumeration date
04/06/2007
Last updated
12/14/2012
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