| Marie Gipson Md Pllc | |
|
18 Grove St # 6 Wellesley MA 02482-7705 | |
| (617) 326-5102 | |
| (617) 858-8238 |
| Full Name | Marie Gipson Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 18 Grove St # 6, Wellesley, Massachusetts |
| Authorized Official Name and Position | Shih Yee-marie Tan Gipson (OWNER) |
| Authorized Official Contact | 6173265102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Gipson Md Pllc 18 Grove St # 6 Wellesley MA 02482-7705 Ph: (617) 326-5102 | Marie Gipson Md Pllc 18 Grove St # 6 Wellesley MA 02482-7705 Ph: (617) 326-5102 |
| NPI Number | 1679350623 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679350623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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