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Individual

DR. NIKLOS JAMES TOMICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1419 HANCOCK ST, QUINCY, MA 02169-5250
(617) 472-1541
Mailing address
110 HART ST, BEVERLY, MA 01915-2151
(978) 927-0638
(978) 927-0638

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4687
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0519073
MA
Enumeration date
04/25/2007
Last updated
07/08/2007
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