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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