Individual
DR. MIEKE VERFAELLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 S HUNTINGTON AVE # 151A, BOSTON, MA 02130-4817
(857) 364-4031
(857) 364-4490
Mailing address
43 LOCHSTEAD AVE, JAMAICA PLAIN, MA 02130-2021
(857) 364-4031
(857) 364-4490
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4417
MA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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