Individual
GAL SIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1330 BEACON ST, # 202, BROOKLINE, MA 02446-3282
(617) 580-0888
Mailing address
33 BRAINERD RD, APT 311, BOSTON, MA 02134-4527
(617) 939-3864
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10508
MA
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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