Individual
ELYSE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1734 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138-1804
(617) 902-0625
Mailing address
612 MAIN ST, MELROSE, MA 02176-3116
(617) 902-0625
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10000227
MA
Other
Enumeration date
04/11/2022
Last updated
07/27/2023
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