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Provider Information for 1891869285

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. CELIANE M REY-CASSERLY PHD

Gender: FEMALE

Individual NPI: 1891869285

Calendar   Last Updated:  2007-07-16
  Certification Date: 

Details

Name Value
NPI 1891869285
Enumeration Date 2006-11-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVENUE CHILDREN'S HOSPITAL
BOSTON, MA 02115
United States

Phone: 617-355-6708 | Fax: 617-730-0319
View Map External Link
Primary Practice Address 300 LONGWOOD AVE CHILDREN'S HOSPITAL
BOSTON, MA 02115-5724
United States

Phone: 617-355-6708 | Fax: 617-730-0319
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 103G00000X - Clinical Neuropsychologist MA 3244
No 103TC2200X - Psychologist Clinical Child & Adolescent MA 3244