Individual
MIRI ELANA SKOLNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
859 WILLARD ST, QUINCY, MA 02169-7482
(617) 774-1074
Mailing address
76 CAROLINA AVE, APT.1, JAMAICA PLAIN, MA 02130-3205
(617) 971-0432
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7868
MA
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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