Individual
THOMAS A TASHJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
246 WALNUT ST, NEWTON, MA 02460-1689
(617) 244-3322
(617) 244-1827
Mailing address
1148 OLD TURNPIKE RD, OAKHAM, MA 01068-9824
(508) 860-1049
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3022
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0525154
—
MA
01
—
W03456
BLUE CROSS BLUE SHIELD OF
MA
Enumeration date
05/17/2006
Last updated
10/12/2010
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