Stephanie Palacios, MFT, PsyD Candidate
Student in an Organized Health Care Education/Training Program in Cambridge, MA. Individual provider (NPI-1).
NPI number1164047965
StatusActive
Last updated in NPPESJun 8, 2020
Details
- NPI
- 1164047965
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Palacios
- Credential
- MFT, PsyD Candidate
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2020
- Certification date
- Jun 8, 2020
- Last updated
- Jun 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | |
| 103TC0700X | Psychologist, Clinical | NA | IL | |
| 103TH0100X | Psychologist, Health Service | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – |
Other names
- Stephanie Moceri (Former Name)
Practice location
1493 Cambridge St Rm 239Cambridge, MA 02139-1099
Phone 617-665-1183
Mailing address
1493 Cambridge St Rm 239Cambridge, MA 02139-1099
Phone 617-665-1183
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