Individual
DR. SAMANTHA ELYSSA CRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
15 HOMER AVENUE, CAMBRIDGE, MA 02138
(516) 761-0114
(617) 441-4092
Mailing address
87 BROWN STREET, APARTMENT 3, WALTHAM, MA 02453
(516) 761-0114
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11956
MA
Other
Enumeration date
11/26/2018
Last updated
11/09/2022
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