Individual
DR. ELLEN DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
90 ADAMS ROAD, WILLIAMSTOWN, MA 01267
(413) 458-9399
(413) 458-0300
Mailing address
510 MILL RD, STAMFORD, VT 05352-9638
(413) 458-0300
(413) 458-0300
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6824
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0526967
MASS HEALTH PROVIDER #
MA
01
—
374570
MVP PROVIDER #
MA
01
—
460550
TUFTS PROVIDER #
MA
01
—
W05796
BC/BS OF MA PROVIDER #
MA
Enumeration date
11/06/2006
Last updated
07/08/2007
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