Healthcare Provider Details

I. General information

NPI: 1477934172
Provider Name (Legal Business Name): CHRISTINA N MASSEY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1371 BEACON ST STE 304
BROOKLINE MA
02446-4965
US

IV. Provider business mailing address

1371 BEACON ST STE 304
BROOKLINE MA
02446-4965
US

V. Phone/Fax

Practice location:
  • Phone: 917-524-6266
  • Fax:
Mailing address:
  • Phone: 917-524-6266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number10683
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: