Individual
DR. FABIENNE BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
240 ELM ST, SOMERVILLE, MA 02144-2935
(716) 866-3682
Mailing address
240 ELM ST, SOMERVILLE, MA 02144-2935
(716) 866-3682
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
021743
NY
103T00000X
Psychologist
Primary
11424
MA
Other
Enumeration date
08/09/2016
Last updated
03/07/2022
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