Individual
DR. MARSHA INA CHASKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
76 BEDFORD ST, SUITE 26, LEXINGTON, MA 02420-4646
(781) 863-5599
(781) 863-2488
Mailing address
76 BEDFORD ST, SUITE 26, LEXINGTON, MA 02420-4646
(781) 863-5599
(781) 863-2488
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4208
MA
103T00000X
Psychologist
Primary
4208
MA
103TB0200X
Cognitive & Behavioral Psychologist
4208
MA
103TC2200X
Clinical Child & Adolescent Psychologist
4208
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W10294
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
03/16/2007
Last updated
09/11/2025
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