Individual
ELLEN SLAWSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
824 BOYLSTON STREET, CHESTNUT HILL, MA 02467
(617) 991-0102
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7159
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0501891
—
MA
01
—
W06019
BSBC
MA
Enumeration date
08/16/2006
Last updated
07/08/2007
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