Individual
ILANA SICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
CHA MACHT BLDG, 1493 CAMBRIDGE ST., ROOM 239, CAMBRIDGE, MA 02139
(617) 575-5399
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(301) 237-2312
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10000145
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/29/2022
Last updated
12/28/2023
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