Individual
DR. MARY ELLEN IRENE DEBIASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4 S MAIN ST, SUITE 3, IPSWICH, MA 01938-2345
(978) 356-0027
Mailing address
4 S MAIN ST, SUITE 3, IPSWICH, MA 01938-2345
(978) 356-0027
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6485
MA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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