Individual
SHANI OFRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(612) 467-5542
Mailing address
421 N MAIN ST, LEEDS, MA 01053-9764
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10954
MA
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
07/11/2018
Last updated
12/06/2023
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