Organization
XIAOYAN FAN PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIAOYAN FAN (LICENSED PSYCHOLOGIST)
(781) 409-1325
Entity
Organization
Contact information
Practice address
186 ALEWIFE BROOK PKWY # 1186, CAMBRIDGE, MA 02138-1121
(781) 409-1325
Mailing address
41 LAWRENCE LN, BELMONT, MA 02478-3331
(408) 834-9758
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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