Individual
IBELIS BUZZETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 846-4300
(413) 846-4311
Mailing address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 846-4300
(413) 846-4311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
39055
TX
Other
Enumeration date
10/03/2019
Last updated
10/23/2023
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