Individual
ELLSWORTH FERSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 RICHDALE AVE APT 2, CAMBRIDGE, MA 02140-2640
(978) 369-8412
Mailing address
70 RICHDALE AVE APT 2, CAMBRIDGE, MA 02140-2640
(978) 369-8412
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1027
MA
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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