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Individual

DR. INGRID ELISE MATTSON-CHARNLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1895 CENTRE ST, SUITE 201, WEST ROXBURY, MA 02132-1933
(617) 327-5535
(617) 327-7696
Mailing address
1895 CENTRE ST, SUITE 201, WEST ROXBURY, MA 02132-1933
(617) 327-5535
(617) 327-7696

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7722
MA

Other

Enumeration date
11/14/2006
Last updated
07/08/2007
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