NPI 1558429563 · live from the CMS NPI Registry
Christopher G Ahnallen
Psychologist, Clinical in Boston, MA. National Provider Identifier 1558429563, active.
NPI record
| NPI | 1558429563 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1153 Centre St, Boston, MA 02130 |
| Practice phone | 617-277-8107 |
| Enumerated | December 4, 2006 |
| Last updated | July 14, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 9013 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.