Individual
MARIE LAMTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
872 MASS AVE STE 2-1, CAMBRIDGE, MA 02139-3072
(617) 645-0505
Mailing address
872 MASS AVE STE 2-1, CAMBRIDGE, MA 02139-3072
(617) 645-0505
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
8525
MA
103TC0700X
Clinical Psychologist
8525
MA
103TC2200X
Clinical Child & Adolescent Psychologist
8525
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60054
CHICKERING
MA
01
—
7987851
AETNA
MA
01
—
W06567
BCBS MASSACHUSETTS
MA
01
—
W06567
BCBS
—
Enumeration date
04/03/2007
Last updated
01/10/2020
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