Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 10000 | MA |
Y | 103TC0700X | Clinical Psychologist | 10000 | MA |
N | 103TH0004X | Health Psychologist | 10000 | MA |
NPI | 1669876074 |
---|---|
Provider Name | Dr. Eric Zhou |
First Address | Boston, MA 02215-5418 |
Second Address | Boston, MA 02215-5418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2014 |
Last Update Date | 14/10/2014 |