Fagen, Shoshana J

Fagen, Shoshana J is an individual health care provider with primary practice located at 30 Warren St , Brighton MA 02135-3602. 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 Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Fagen, Shoshana J can be contacted via phone (617) 254-3800.

Contact Information

Primary practice address
30 Warren St Brighton MA 02135-3602
Phone: (617) 254-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8354 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 9952 Massachusetts

Profile Details

NPI number 1295054195
LBN Legal business name Fagen, Shoshana J
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2010
Last updated Apr 18th, 2023 - about last year

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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