Individual
DR. JODI R GALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5 RAYMOND ST, LEXINGTON, MA 02421-4945
(781) 861-1211
Mailing address
5 RAYMOND ST, LEXINGTON, MA 02421-4945
(781) 861-1211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
012528-1
NY
103TC0700X
Clinical Psychologist
Primary
7073
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7414124
AETNA PROVIDER ID NUMBER
—
01
—
W05563
BCBS ID NUMBER
MA
Enumeration date
02/05/2007
Last updated
07/08/2007
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