Provider Demographics
NPI:1093128043
Name:PHOTOS, VALERIE IRENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:IRENE
Last Name:PHOTOS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 BUENA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-7537
Mailing Address - Country:US
Mailing Address - Phone:617-642-1630
Mailing Address - Fax:
Practice Address - Street 1:90 CONCORD AVE
Practice Address - Street 2:PSYCHGARDEN, FLOOR 3
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-4046
Practice Address - Country:US
Practice Address - Phone:857-598-2808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-07
Last Update Date:2014-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist