Soo Jeong Youn Llc | |
103 Beethoven Ave Waban MA 02468-1731 | |
(617) 286-4087 | |
Not Available |
Full Name | Soo Jeong Youn Llc |
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Speciality | Psychologist - Clinical |
Location | 103 Beethoven Ave, Waban, Massachusetts |
Authorized Official Name and Position | Soo Jeong Youn (CEO) |
Authorized Official Contact | 6172864087 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Soo Jeong Youn Llc 103 Beethoven Ave Waban MA 02468-1731 Ph: () - | Soo Jeong Youn Llc 103 Beethoven Ave Waban MA 02468-1731 Ph: (617) 286-4087 |
NPI Number | 1497323307 |
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Provider Enumeration Date | 06/16/2021 |
Last Update Date | 06/16/2021 |
Certification Date | 06/16/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497323307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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