Individual
MS. INGRID OBSUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1216
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1216
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
273R00000X
Psychiatric Hospital Unit
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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