Individual
REBECCA SISTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(617) 232-9500
Mailing address
330 SHIRLEY ST, WINTHROP, MA 02152-1239
(218) 280-7553
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6884
MN
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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