Organization
PAX ET BONUM PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN K ELLARD PH.D. (PSYCHOLOGIST/SOLE MEMBER)
(617) 515-9902
Entity
Organization
Contact information
Practice address
10 CONCORD AVE, CAMBRIDGE, MA 02138-2322
(617) 515-9902
Mailing address
93 OXFORD ST # 2, ARLINGTON, MA 02474-6907
(617) 515-9902
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
10310
MA
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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