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NPI Code Detail

MEDICARE: DR. NICOLE FLORY PHD

MEDICARE: DR. NICOLE FLORY PHD
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
1103TB0200XCognitive & Behavioral Psychologist8736MA
2103TC0700XClinical Psychologist8736MA
3103TH0004XHealth Psychologist8736MA

General Provider Information

NPI Number : 1447407358
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE FLORY PHD
Provider Business Mailing Address
First Line : 16 GARDNER ST
Second Line :
City : ARLINGTON
State : MA
Zip : 02474-3830
Country : US
Telephone Number : 781-316-8082
Fax Number :
Provider Business Practice Location Address
First Line : 226 MASSACHUSETTS AVE
Second Line :
City : ARLINGTON
State : MA
Zip : 02474-8435
Country : US
Telephone Number : 781-316-8082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2008
Last Update Date : 08/21/2008

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