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NPI Code Detail

MEDICARE: DR. TALYA RABINA PSY.D.

MEDICARE: DR. TALYA RABINA PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1366742785
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TALYA RABINA PSY.D.
Provider Business Mailing Address
First Line : 11 E MILTON RD
Second Line : APT 1
City : BROOKLINE
State : MA
Zip : 02445-6738
Country : US
Telephone Number : 781-690-4112
Fax Number :
Provider Business Practice Location Address
First Line : 11 CHAPEL PL
Second Line :
City : WELLESLEY HILLS
State : MA
Zip : 02481-3130
Country : US
Telephone Number : 781-690-4112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2010
Last Update Date : 11/01/2010

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