Individual
DR. ILANA TAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
872 MASS AVE, SUITE 2-5, CAMBRIDGE, MA 02139-1836
(617) 864-0285
Mailing address
872 MASS AVE, SUITE 2-5, CAMBRIDGE, MA 02139-1836
(617) 864-0285
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8539
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06492
BCBS
MA
Enumeration date
01/30/2007
Last updated
02/18/2019
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