Healthcare Provider Details

I. General information

NPI: 1851415764
Provider Name (Legal Business Name): DEBORAH HULIHAN PSYCHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 APPLETON ST
CAMBRIDGE MA
02138-3340
US

IV. Provider business mailing address

116 APPLETON ST
CAMBRIDGE MA
02138-3340
US

V. Phone/Fax

Practice location:
  • Phone: 617-661-9633
  • Fax:
Mailing address:
  • Phone: 617-661-9633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4018
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: