| Doctor Name: | SOBHAN NAMVAR |
| NPI Number: | 1104214410 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW |
| License Number: | LICSW 118706 |
| Business Practice Address: | 19 Murphy Rd Needham, MA - 024922110 |
| Business Phone Number: | 6176427274 |
| Business Fax Number: | |
| Mailing Address: | 19 Murphy Rd, NEEDHAM |
| State: | MA |
| Postal Code: | 024922110 |
| Phone Number: | 6176427274 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2015 |
| NPI Last Update Date: | 01/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LICSW 118706 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |