Organization
CENTER FOR EMERGING ADULTHOOD, PLLC
Active
Organization
CENTER FOR EMERGING ADULTHOOD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN M. STILE PHD (MANAGING MEMBER)
(617) 465-6500
Entity
Organization
Contact information
Practice address
140 FOSTER ST, CAMBRIDGE, MA 02138-4746
(917) 499-1354
Mailing address
PO BOX 380785, CAMBRIDGE, MA 02238-0783
(617) 465-6500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/11/2021
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