Individual
DR. JULIA FOMICHEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
411 WAVERLEY OAKS RD., #104, WALTHAM, MA 02452-8449
(781) 330-3092
(781) 893-1171
Mailing address
P.O.BOX 79157, BELMONT, MA 02479-0157
(617) 826-0241
(617) 826-0241
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9255
MA
Other
Enumeration date
10/20/2010
Last updated
07/11/2011
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