Individual
VIRGINIA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.ED.
Contact information
Practice address
1581 BEACON ST, BROOKLINE, MA 02446-4602
(617) 782-1347
Mailing address
1581 BEACON ST, BROOKLINE, MA 02446-4602
(617) 782-1347
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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