Individual
DR. ILANA LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3 BOW ST, CAMBRIDGE, MA 02138-5109
(161) 754-7225
(617) 547-0003
Mailing address
3 BOW ST, CAMBRIDGE, MA 02138-5109
(161) 754-7225
(617) 547-0003
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9492
MA
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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