Individual
DR. KUMIKO IDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LMFT
Contact information
Practice address
675 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3309
(617) 448-0422
Mailing address
24 BELLEVUE RD, BELMONT, MA 02478-2813
(617) 448-0422
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1149
MA
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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