Individual
IURI CONCEICAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CLINICAL PSY
Contact information
Practice address
10 CONCORD AVE, CAMBRIDGE, MA 02138-2322
(805) 338-7225
Mailing address
10 CONCORD AVE, CAMBRIDGE, MA 02138-2322
(617) 307-4470
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11781
MA
Other
Enumeration date
04/28/2022
Last updated
02/27/2023
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