Individual
ILLYSE S. HABBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
15 COTTAGE ST, SUITE 3, NORWOOD, MA 02062-2153
(781) 784-2431
(781) 784-2431
Mailing address
18 TOLMAN ST, SHARON, MA 02067-2129
(781) 784-2431
(781) 784-2431
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
6697
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014854
HARVARD PILGRIM/PACIFICAR
MA
05
—
0596485
—
MA
01
—
486857
TUFTS
MA
Enumeration date
10/06/2006
Last updated
07/08/2007
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