Individual
MICHELLE ELIZABETH THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
625 MOUNT AUBURN ST STE 201A, CAMBRIDGE, MA 02138-4556
(781) 551-0999
Mailing address
PO BOX 675153, DETROIT, MI 48267-5153
(781) 551-0999
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10001346
MA
Other
Enumeration date
04/18/2022
Last updated
12/12/2025
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