Provider Demographics
NPI:1134371636
Name:ASLAM, PRIYA FATIMA (MA COUNSELLING)
Entity type:Individual
Prefix:MS
First Name:PRIYA
Middle Name:FATIMA
Last Name:ASLAM
Suffix:
Gender:F
Credentials:MA COUNSELLING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 PARK VALE AVE APT 34
Mailing Address - Street 2:ALLSTON,
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-2613
Mailing Address - Country:US
Mailing Address - Phone:857-234-3006
Mailing Address - Fax:
Practice Address - Street 1:50 PARK VALE AVE APT 34
Practice Address - Street 2:ALLSTON,
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-2613
Practice Address - Country:US
Practice Address - Phone:857-234-3006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program