Individual
DR. SCOTT THOMAS BORTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1218 MASSACHUSETTS AVE, 3RD FLOOR, CAMBRIDGE, MA 02138-3835
(617) 935-3384
Mailing address
1218 MASSACHUSETTS AVE, 3RD FLOOR, CAMBRIDGE, MA 02138-3835
(617) 935-3384
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9020
MA
Other
Enumeration date
05/17/2007
Last updated
03/26/2010
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