| Soo Jeong Youn Llc | |
|
103 Beethoven Ave Waban MA 02468-1731 | |
| (617) 286-4087 | |
| Not Available |
| Full Name | Soo Jeong Youn Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
Mary Pantuhova, Psy.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 Wyman St, Waban, MA 02468 Phone: 617-332-7596 | |
Phyllis Friedman Ross, Licsw, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 76 Gordon Rd, Waban, MA 02468 Phone: 617-285-8639 | |
Center For Lifespan Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 Wyman St, Suite One, Waban, MA 02468 Phone: 617-969-7891 | |
Sheldon Roth Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1765 Beacon St, Waban, MA 02468 Phone: 617-332-6150 Fax: 617-527-6677 | |
John B. Herman, Md, Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Moffat Rd, Waban, MA 02468 Phone: 617-640-2775 | |
Audrey E. Stern, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Evelyn Rd, Waban, MA 02468 Phone: 617-209-9433 |