Individual
DR. JENICE AMY ELY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4 MILITIA DR, SUITE 15, LEXINGTON, MA 02421-4737
(781) 674-1121
(781) 674-1121
Mailing address
23 FAIR OAKS TER, LEXINGTON, MA 02421-6905
(781) 863-9518
(781) 674-1121
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6930
MA
103TC0700X
Clinical Psychologist
Primary
6930
MA
Other
Enumeration date
05/30/2006
Last updated
09/11/2025
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