Individual
JULIA TORRES GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
255 RIVER ST, MATTAPAN, MA 02126-2729
(617) 414-0502
Mailing address
255 RIVER ST, MATTAPAN, MA 02126-2729
(617) 414-0502
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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