Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 020907 | NY |
N | 103TC0700X | Clinical Psychologist | 020907 | NY |
Y | 103G00000X | Clinical Psychologist | 9919 | MA |
Y | 103TC0700X | Clinical Psychologist | 9919 | MA |
N | 102L00000X | Psychologist | 020907 | NY |
N | 103T00000X | Psychologist | 020907 | NY |
N | 102L00000X | Psychologist | 9919 | MA |
N | 103T00000X | Psychologist | 9919 | MA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 020907 | NY |
N | 103G00000X | Clinical Psychologist | 020907 | NY |
N | 103TC0700X | Clinical Psychologist | 020907 | NY |
N | 103G00000X | Clinical Psychologist | 9919 | MA |
N | 103TC0700X | Clinical Psychologist | 9919 | MA |
N | 103TC1900X | Counseling Psychologist | 9919 | MA |
N | 103TH0100X | Health Service | 9919 | MA |
N | 103TP2701X | Group Psychotherapist | 020907 | NY |
N | 103TP2701X | Group Psychotherapist | 9919 | MA |
N | 103TR0400X | Rehabilitation Psychologist | 020907 | NY |
N | 103TR0400X | Rehabilitation Psychologist | 9919 | MA |
NPI | 1336507656 |
---|---|
Provider Name | Dr. Chiara Simone Haller |
First Address | Cambridge, MA 02140-2717 |
Second Address | Cambridge, MA 02140-2717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2016 |
Last Update Date | 19/04/2017 |