| Fatima Aydin Phd Llc | |
|
173 Auburn St Auburndale MA 02466-2411 | |
| (617) 869-2883 | |
| Not Available |
| Full Name | Fatima Aydin Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 173 Auburn St, Auburndale, Massachusetts |
| Authorized Official Name and Position | Fatima Aydin (OWNER) |
| Authorized Official Contact | 6178692883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fatima Aydin Phd Llc 173 Auburn St Auburndale MA 02466-2411 Ph: (617) 869-2883 | Fatima Aydin Phd Llc 173 Auburn St Auburndale MA 02466-2411 Ph: (617) 869-2883 |
| NPI Number | 1194551028 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Medicare PECOS PAC ID | 5395277461 |
|---|---|
| Medicare Enrollment ID | O20241014003538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194551028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Fatima Aydin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730436254 PECOS PAC ID: 5395969240 Enrollment ID: I20241014003925 |
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