Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 11626 | MA |
Y | 103G00000X | Clinical Psychologist | 11626 | MA |
Y | 103TC0700X | Clinical Psychologist | 11626 | MA |
N | 103TC1900X | Counseling Psychologist | 11626 | MA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 11626 | MA |
N | 103TF0000X | Family Psychologist | 11626 | MA |
NPI | 1003267964 |
---|---|
Provider Name | Dr. Allison E White |
First Address | Boston, MA 02114 |
Second Address | Boston, MA 02114-2620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2016 |
Last Update Date | 31/01/2022 |