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Individual

DR. MONIQUE NOELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
930 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3234
(617) 388-9985
Mailing address
930 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3234
(617) 388-9985
(617) 844-1606

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8212
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W06333
BCBS MA
Enumeration date
04/19/2006
Last updated
09/30/2009
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