Individual
IVY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 E NEWTON ST, BOSTON, MA 02118-4802
(614) 316-1995
Mailing address
45 E NEWTON ST, BOSTON, MA 02118-4802
(614) 316-1995
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10001434
MA
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
04/06/2026
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