Individual
DR. JULIE MICHELLE BRODY MAGID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-3543
Mailing address
76 BEDFORD ST, LEXINGTON, MA 02420-4646
(617) 855-3543
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY19686
CA
103T00000X
Psychologist
PSY19686
CA
103TC0700X
Clinical Psychologist
Primary
7799
MA
Other
Enumeration date
12/20/2006
Last updated
11/02/2016
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