Individual
MARLENA E. RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
661 MASSACHUSETTS AVE STE 14, ARLINGTON, MA 02476-5001
(617) 674-0779
(339) 707-0962
Mailing address
661 MASSACHUSETTS AVE STE 14, ARLINGTON, MA 02476-5001
(617) 674-0779
(339) 707-0962
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8593
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030050
—
MA
01
—
W10533
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/21/2006
Last updated
02/27/2019
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