Individual
REBECCA ANNE WAINTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
475 MASSACHUSETTS AVE, SUITE 84, CAMBRIDGE, MA 02139
(857) 309-4732
Mailing address
875 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3067
(857) 309-4732
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
11656
MA
Other
Enumeration date
09/09/2016
Last updated
03/22/2022
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