Individual
DR. ELIZABETH HOLLE NASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
22 FAIRWAY DR, NORTHBOROUGH, MA 01532-2072
(508) 259-7684
(508) 393-1903
Mailing address
22 FAIRWAY DR, NORTHBOROUGH, MA 01532-2072
(508) 259-7684
(508) 393-1903
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8127-PR
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0502731
—
MA
01
—
641611
TUFTS
MA
01
—
W06270
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/09/2006
Last updated
05/24/2016
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