Individual
DR. JASON ALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
100 CENTURY DR, WORCESTER, MA 01606-1244
(508) 762-5400
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
11980
MA
Other
Enumeration date
04/21/2022
Last updated
02/06/2023
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