Khodadoust, Maryam
Khodadoust, Maryam is an sole proprietor health care provider with primary practice located at 20 Central Ave 3Rd Floor, Lynn MA 01901-1201. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Khodadoust, Maryam can be contacted via phone (781) 477-7222.Contact Information
Primary practice address
20 Central Ave 3Rd Floor
Lynn MA 01901-1201
Phone: (781) 477-7222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 10171 | Massachusetts |
Profile Details
| NPI number | 1407250319 |
|---|---|
| LBN Legal business name | Khodadoust, Maryam |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2014 |
| Last updated | Oct 29th, 2015 - about 9 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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