Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 10504 | MA |
Y | 103T00000X | Psychologist | 10504 | MA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 10504 | MA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 10504 | MA |
N | 103TC1900X | Counseling Psychologist | 10504 | MA |
N | 103TP2701X | Group Psychotherapist | 10504 | MA |
NPI | 1043751126 |
---|---|
Provider Name | Dr. Dorothy Anne Tormey |
First Address | Leeds, MA 01053-9764 |
Second Address | Leeds, MA 01053-9764 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2017 |
Last Update Date | 09/03/2017 |