Individual
BETTE L MCINNIS-IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
365 EAST ST, TEWKSBURY, MA 01876-1950
(978) 851-7321
(978) 858-3795
Mailing address
PO BOX 940, EXETER, NH 03833-0940
(603) 490-8225
(978) 858-3795
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6572
MA
Other
Enumeration date
06/10/2006
Last updated
08/07/2007
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