Individual
GISELE A RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 CONWAY RD, WEST WHATELY, MA 01039-9601
(413) 221-8928
Mailing address
48 CONWAY RD, WEST WHATELY, MA 01039-9601
(413) 221-8928
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8154
MA
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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