Individual
MISS MICHELLE CODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
(508) 234-3944
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
(508) 234-3944
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11805
MA
Other
Enumeration date
01/06/2015
Last updated
10/10/2022
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