Individual
DR. MARYJANE FELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
55 FEDERAL ST, GREENFIELD, MA 01301-2546
(413) 775-4750
Mailing address
131 KING ST, NORTHAMPTON, MA 01060-3240
(413) 265-7133
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8591
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33257
HEALTH NEW ENGLAND
MA
Enumeration date
07/08/2006
Last updated
05/29/2009
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