Individual
BEVERLEY HEIDI ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
850 HARRISON AVE, DOWLING 1N, BOSTON, MA 02118-4001
(617) 414-2664
(617) 414-7534
Mailing address
850 HARRISON AVE, DOWLING 1N, BOSTON, MA 02118-4001
(617) 414-2664
(617) 414-7534
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MA8105
MA
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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