Individual
DR. KATHERINE ELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
763 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3329
(617) 864-3667
Mailing address
763 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3329
(617) 864-3667
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7132
MA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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