Individual
ELIZABETH CORNELIA DYKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
151 WORCESTER RD, BARRE, MA 01005-9002
(978) 355-6321
(978) 355-6329
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10713
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110129373A
—
MA
Enumeration date
07/24/2013
Last updated
11/22/2020
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