Doctor Name: | DR. CATHERINE IONE DUBOIS |
NPI Number: | 1093917668 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 7199 |
Business Practice Address: | 91 Wyman St Waban, MA - 024681529 |
Business Phone Number: | 6174999609 |
Business Fax Number: | |
Mailing Address: | 12 Edgemont St, ROSLINDALE |
State: | MA |
Postal Code: | 021311923 |
Phone Number: | 6174693861 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 7199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |