Individual
MONICA TAM LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG, BOSTON, MA 02118
(617) 638-8456
(617) 638-8465
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-3021
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY10000160
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110206585A
—
MA
05
—
3143472
—
NH
Enumeration date
06/19/2023
Last updated
06/10/2024
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