| Center For Emerging Adulthood, Pllc | |
|
140 Foster St Cambridge MA 02138-4746 | |
| (917) 499-1354 | |
| Not Available |
| Full Name | Center For Emerging Adulthood, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 140 Foster St, Cambridge, Massachusetts |
| Authorized Official Name and Position | Jillian M. Stile (MANAGING MEMBER) |
| Authorized Official Contact | 6174656500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Emerging Adulthood, Pllc Po Box 380785 Cambridge MA 02238-0783 Ph: (617) 465-6500 | Center For Emerging Adulthood, Pllc 140 Foster St Cambridge MA 02138-4746 Ph: (917) 499-1354 |
| NPI Number | 1679165682 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 02/11/2021 |
| Certification Date | 02/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679165682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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