Xiaoyan Fan PHD LLC
NPI #1962143966 in Cambridge, Massachusetts
Provider Information
- NPI Number
- 1962143966
- Entity Type
- Organization
- Organization Name
- Xiaoyan Fan PHD LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Apr 5, 2022
- Last Updated
- Apr 5, 2022
Practice Location
- Address
- 186 ALEWIFE BROOK PKWY # 1186
- City
- Cambridge
- State
- Massachusetts
- ZIP Code
- 02138-1121
- Phone
- (781) 409-1325
Authorized Official
- Name
- XIAOYAN FAN
- Title
- LICENSED PSYCHOLOGIST
- Phone
- (781) 409-1325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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