NPI 1679040364 · live from the CMS NPI Registry
Marie-Christine Andre, Ph.D.
Psychologist, Clinical in Boston, MA. National Provider Identifier 1679040364, active.
NPI record
| NPI | 1679040364 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 729 Boylston St, Boston, MA 02116 |
| Practice phone | 617-651-5513 |
| Mailing address | 252 Boston Ave Apt 2, Medford, MA 02155 |
| Enumerated | October 31, 2018 |
| Last updated | October 31, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 10935 (MA) |
| Psychologist, Clinical | 103TC0700X | PS1736 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.