Trustees of Tufts College

NPI #1609360510 in Boston, Massachusetts

Provider Information

NPI Number: 1609360510
Entity Type: Organization
Organization Name: Trustees of Tufts College
Subpart: Yes (part of a larger organization)
Parent Organization: TRUSTEES OF TUFTS COLLEGE
Primary Specialty: Psychologist
Enumeration Date: Jun 15, 2018
Last Updated: Jun 15, 2018

Practice Location

Address: 1 KNEELAND ST FL 6
City: Boston
State: Massachusetts
ZIP Code: 02111-1527
Phone: (617) 636-6817

Authorized Official

Name: LISA GATELY
Title: CREDENTIALING MANAGER
Phone: (617) 636-6505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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