Individual
PATRICIA ALISON GELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
43 MOUNT AUBURN ST, WATERTOWN, MA 02472-3924
(617) 319-6580
Mailing address
19 S IRVING PARK, WATERTOWN, MA 02472-2701
(617) 926-0607
(617) 926-0425
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6463
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043518680
TAX IDENTIFICATION
MA
Enumeration date
11/08/2006
Last updated
12/05/2025
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