Individual
XIAOYAN FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
75 MOUNT AUBURN ST, RICHARD A. AND SUSAN F. SMITH CAMPUS CENTER, 4TH FLOOR, CAMBRIDGE, MA 02138-4960
(617) 495-5711
Mailing address
75 MOUNT AUBURN ST, RICHARD A. AND SUSAN F. SMITH CAMPUS CENTER, 4 FLOOR, CAMBRIDGE, MA 02138-4960
(617) 495-5711
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1323
NH
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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