Healthcare Provider Details
I. General information
NPI: 1790819266
Provider Name (Legal Business Name): VALENTINA ZUMAN LMHC, MFT, RYT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/15/2007
Last Update Date: 07/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
399 BOYLSTON ST STE 900A
BOSTON MA
02116
US
IV. Provider business mailing address
399 BOYLSTON ST STE 900A
BOSTON MA
02116-3305
US
V. Phone/Fax
- Phone: 617-858-6907
- Fax:
- Phone: 617-858-6907
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 69022 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | IMF49545 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | NBCC/287150 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: