| Manijeh Boustani, Ph.d., Inc. | |
|
602 Oak Tree Dr Chapel Hill NC 27517-4072 | |
| (919) 656-3589 | |
| (919) 240-4698 |
| Full Name | Manijeh Boustani, Ph.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 602 Oak Tree Dr, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Manijeh Boustani (PRESIDENT) |
| Authorized Official Contact | 9196563589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manijeh Boustani, Ph.d., Inc. 602 Oak Tree Dr Chapel Hill NC 27517-4072 Ph: (919) 656-3589 | Manijeh Boustani, Ph.d., Inc. 602 Oak Tree Dr Chapel Hill NC 27517-4072 Ph: (919) 656-3589 |
| NPI Number | 1366791881 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 08/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366791881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1456 (North Carolina) | Primary |
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