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General NPI Number Information
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NPI Number | 1629913546
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Entity Type | Organization
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Legal Business Name | THE LISTENING ROOM PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 43 MOUNT AUBURN ST
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City | WATERTOWN
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State | MA
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Zip | 02472-3924
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Country | US
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Telephone | 617-744-9081
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Fax |
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Provider Business Mailing Address
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Address Line | 11 EDWIN RD
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City | WALTHAM
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State | MA
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Zip | 02453-8209
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Country | US
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Telephone | 248-909-7990
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. SEVAN MAKHOULIAN
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Credential | PH.D.
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Telephone | 248-909-7990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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