Individual
JOHANNA NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
801 MAIN ST STE 7, CONCORD, MA 01742-3319
(617) 539-6762
Mailing address
801 MAIN ST STE 7, CONCORD, MA 01742-3319
(617) 539-6762
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10000430
MA
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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