Individual
ANNE ELIZABETH CICCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9 PROSPECT HTS, NORTHAMPTON, MA 01060-1612
(504) 357-9072
Mailing address
9 PROSPECT HTS, NORTHAMPTON, MA 01060-1612
(504) 357-9072
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11294
MA
103TC0700X
Clinical Psychologist
1214
LA
Other
Enumeration date
03/04/2010
Last updated
06/25/2022
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