Individual
MRS. ELISABETH DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., PSYS.
Contact information
Practice address
40 ARMINGTON ST, ALLSTON, MA 02134-2406
(617) 635-8544
Mailing address
40 ARMINGTON ST, ALLSTON, MA 02134-2406
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
52715457
MA
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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