Individual
DR. LISE MOTHERWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD PSYD
Contact information
Practice address
1180 BEACON ST, STE 4B, BROOKLINE, MA 02446
(617) 738-7660
(617) 576-2871
Mailing address
1180 BEACON ST, STE 4B, BROOKLINE, MA 02446
(617) 738-7660
(617) 576-2871
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6598
MA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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