Organization
AMETHYST INTEGRATION LLC
Active
Other names
Amethyst Integration
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH BARCH PSYD (CLINICAL PSYCHOLOGIST)
(617) 286-2816
Entity
Organization
Contact information
Practice address
10 NAVARRO CIRCLE, MEDFORD, MA 02155
(617) 286-2816
Mailing address
51 PLEASANT ST # 258, MALDEN, MA 02148-4904
(617) 286-2816
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679914147
—
MA
Enumeration date
03/14/2024
Last updated
03/14/2024
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