Individual
DR. URIEL MESHOULAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
15 CENTRE ST, CAMBRIDGE, MA 02139-2117
(617) 491-3801
Mailing address
15 CENTRE ST, CAMBRIDGE, MA 02139-2117
(617) 491-3801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2109
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
W02274
MA
Enumeration date
10/16/2006
Last updated
07/08/2007
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