Individual
TATIANA FARBER SAMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-2858
Mailing address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-2858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
10490
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
09/12/2016
Last updated
02/07/2020
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