Individual
MARY ELLEN J CROWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
661 MASSACHUSETTS AVE, SUITE 18, ARLINGTON, MA 02476-5000
(781) 483-3300
Mailing address
661 MASSACHUSETTS AVE, SUITE 18, ARLINGTON, MA 02476-5000
(781) 483-3300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7921
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06087
BCBS
MA
Enumeration date
09/26/2006
Last updated
07/21/2022
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