Individual
JAFAR BAKHSHAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(832) 538-8333
Mailing address
1 BOWDOIN SQ, BOSTON, MA 02114-2927
(617) 643-9406
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11487
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
07/02/2020
Last updated
06/02/2021
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