Individual
WILLIAM B JAFFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-3123
Mailing address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-3123
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8638
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06565
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/30/2007
Last updated
07/30/2007
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