Individual
DERYN FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
415 NEPONSET AVE STE 3, DORCHESTER, MA 02122-3169
(857) 217-3700
Mailing address
60 PARSONS ST, BRIGHTON, MA 02135-2721
(860) 707-3761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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