Individual
ELSA F RONNINGSTAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-2644
(617) 489-3875
Mailing address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-2644
(617) 489-3875
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4955
MA
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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