Provider Demographics
NPI:1093940959
Name:SALEHPOUR, YEGANEH (PHD)
Entity Type:Individual
Prefix:
First Name:YEGANEH
Middle Name:
Last Name:SALEHPOUR
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 1:80 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-3766
Mailing Address - Country:US
Mailing Address - Phone:617-484-8073
Mailing Address - Fax:
Practice Address - Street 1:80 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-3766
Practice Address - Country:US
Practice Address - Phone:617-484-8073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist