| Ann Marie E. Ide | |
|
1330 Beacon St Ste 258 Brookline MA 02446-3200 | |
| (617) 875-6031 | |
| (617) 734-6385 |
| Full Name | Ann Marie E. Ide |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1330 Beacon St Ste 258, Brookline, Massachusetts |
| Authorized Official Name and Position | Ann Marie E. Ide (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6178756031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Marie E. Ide 1330 Beacon St Ste 258 Brookline MA 02446-3200 Ph: (617) 875-6031 | Ann Marie E. Ide 1330 Beacon St Ste 258 Brookline MA 02446-3200 Ph: (617) 875-6031 |
| NPI Number | 1811232853 |
|---|---|
| Provider Enumeration Date | 12/03/2012 |
| Last Update Date | 12/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811232853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 115559 (Massachusetts) | Primary |
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