MEDICARE: DR. RHEA MARISA CHASE PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	10899	MA

General Provider Information

NPI Number	:	1619293941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RHEA MARISA CHASE PH.D.

Provider Business Mailing Address
First Line	:	1040 GREAT PLAIN AVE STE 3B
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02492-2500
Country	:	US
Telephone Number	:	781-214-0776
Fax Number	:	781-330-0922

Provider Business Practice Location Address
First Line	:	1040 GREAT PLAIN AVE STE 3B
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02492-2500
Country	:	US
Telephone Number	:	781-214-0776
Fax Number	:	781-330-0922

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2010
Last Update Date	:	07/19/2023

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