Individual
DR. AMY C TISHELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-4758
(617) 730-0432
Mailing address
187 BONAD RD, CHESTNUT HILL, MA 02467-3603
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6592
MA
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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