Individual
DR. MIRYAM YUSUFOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
375 LONGWOOD AVE # LW-603, BOSTON, MA 02215-5395
(617) 582-7618
Mailing address
137 NORTH ST APT C, NEWTON, MA 02460-1024
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10846
MA
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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