Individual
MASSOMEH NAMAVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
221 MOUNT AUBURN ST APT 104, CAMBRIDGE, MA 02138-4848
(857) 919-6767
Mailing address
221 MOUNT AUBURN ST APT 104, CAMBRIDGE, MA 02138-4848
(857) 919-6767
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6544-PY-PR
MA
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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