Individual
ALADDIN OSSORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 WORCESTER SQ APT 1, BOSTON, MA 02118-2939
(617) 918-7195
Mailing address
21 WORCESTER SQ APT 1, BOSTON, MA 02118-2939
(617) 918-7195
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10900-PY-PR
MA
103TH0004X
Health Psychologist
10900-PY-PR
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10900-PY-PR
MA LICENSE NUMBER
MA
Enumeration date
06/26/2012
Last updated
10/28/2020
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