Individual provider · Type 1 NPI

Julia Fomicheva, PhD

Clinical Psychologist · Waltham, MA

NPI number 1992015275 Active

Practice location

411 Waverley Oaks Rd., #104
Waltham, MA 02452-8449

Fax (781) 893-1171

Mailing address

P.o.box 79157
Belmont, MA 02479-0157

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X9255 (MA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1992015275

Julia Fomicheva, PhD's National Provider Identifier is 1992015275, issued on Oct 20, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Waltham, MA. The record was last updated on Jul 11, 2011.