Maryam Khodadoust, PSYD
Psychologist, Clinical in Lynn, Massachusetts
1407250319- Practice location
- 20 Central Ave, 3RD Floor, Lynn, MA 01901-1201
- Phone
- 781-477-7222
- Fax
- —
- Last updated
- October 29, 2015
Maryam Khodadoust is a Psychologist, Clinical based in Lynn, MA. Maryam Khodadoust practices in Lynn, MA and has the professional credentials of PSYD. The NPI Number for Maryam Khodadoust is 1407250319 and holds a License No. 10171 (MA). The current practice location address for Maryam Khodadoust is 20 Central Ave, 3RD Floor, Lynn, MA 01901-1201 and can be reached out via phone at 781-477-7222.
Provider Profile Details
- NPI Number
- 1407250319
- Provider Name
- Maryam Khodadoust
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 Central Ave, 3RD Floor, Lynn, MA 01901-1201
- Phone Number
- 781-477-7222
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 21, 2014
- Last Update Date
- October 29, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Central Ave
3RD Floor
Lynn, MA 01901-1201 - City
- Lynn
- State
- Massachusetts
- Zip
- 01901-1201
- Phone Number
- 781-477-7222
Provider Business Mailing Address Details
- Address
- 20 Central Ave.,
3RD Floor
Lynn, MA 01901 - City
- Lynn
- State
- MA
- Zip
- 01901
- Phone Number
- 781-477-7222
License Information
- License Number
- 10171
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Maryam Khodadoust, PSYD?
The NPI number of Maryam Khodadoust, PSYD is 1407250319. It was assigned on October 21, 2014 and is currently active in the NPPES registry.
What is the specialty of Maryam Khodadoust, PSYD?
Maryam Khodadoust, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 10171.
Where does Maryam Khodadoust, PSYD practice?
The practice location is 20 Central Ave, 3RD Floor, Lynn, MA 01901-1201. The office can be reached at 781-477-7222 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407250319 directly on the NPPES registry website.