| Shanmugham Psychological Services Llc | |
|
1577 Beacon St Ste D Brookline MA 02446-4602 | |
| (617) 990-9450 | |
| Not Available |
| Full Name | Shanmugham Psychological Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1577 Beacon St Ste D, Brookline, Massachusetts |
| Authorized Official Name and Position | Uma M Shanmugham (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6179909450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanmugham Psychological Services Llc 3961 Washington St Apt 2r Roslindale MA 02131-1241 Ph: () - | Shanmugham Psychological Services Llc 1577 Beacon St Ste D Brookline MA 02446-4602 Ph: (617) 990-9450 |
| NPI Number | 1396401873 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396401873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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