MRS. Alexis Vichniac

NPI #1982987020 in Somerville, Massachusetts

Provider Information

NPI Number: 1982987020
Entity Type: Individual
Name: MRS. Alexis Vichniac
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Sep 26, 2011
Last Updated: Sep 26, 2011

Practice Location

Address: 163 ELM ST
Address 2: 3
City: Somerville
State: Massachusetts
ZIP Code: 02144-3110
Phone: (617) 571-8058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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