| Organization Name: | NORA ILNICZKY, PH.D., PSYCHOTHERAPY AND WELLBEING, LLC. |
| NPI Number: | 1013141993 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORA KLARA ILNICZKY (CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 1158 Massachusetts Ave Suite #307 Cambridge |
| State: | MA US |
| Postal Code: | 021385205 |
| Phone Number: | 6178940055 |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2009 |
| NPI Last Update Date: | 05/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0850X |
| License Number: | 8701 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Mental Health |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |