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NPI 1326807249 · live from the CMS NPI Registry

Amethyst Integration LLC

Psychologist, Clinical in Medford, MA. National Provider Identifier 1326807249, active.

NPI record

NPI1326807249 Type 2 · organization
StatusActive
Primary specialtyPsychologist, Clinical 103TC0700X
Practice location10 Navarro Circle, Medford, MA 02155
Practice phone617-286-2816
Mailing address51 Pleasant St # 258, Malden, MA 02148
EnumeratedMarch 14, 2024
Last updatedMarch 14, 2024
Authorized officialElizabeth Barch, Clinical Psychologist
Other namesAmethyst Integration

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical primary103TC0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.