Abdolmohammadi, Yasaman

Abdolmohammadi, Yasaman is an sole proprietor health care provider with primary practice located at 205 Burlington Rd , Bedford MA 01730. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Abdolmohammadi, Yasaman can be contacted via phone (781) 761-5078.

Contact Information

Primary practice address
205 Burlington Rd Bedford MA 01730
Phone: (781) 761-5078
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000123614 Massachusetts

Profile Details

NPI number 1245759257
LBN Legal business name Abdolmohammadi, Yasaman
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2017
Last updated Apr 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245759257 NPPES
Massachusetts Other 1004745 FALLON
Massachusetts Other 99618201 FALLON
Massachusetts Other 1303287 FALLON
Massachusetts Other M18633 FALLON
Massachusetts Other 042611055 FALLON
Massachusetts Other 0000023532 FALLON
Massachusetts Other 1004745 FALLON

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