| Back Bay Cognitive Behavioral Therapy Llc | |
|
29 Commonwealth Ave Ste 901 Boston MA 02116-2349 | |
| (617) 279-0739 | |
| Not Available |
| Full Name | Back Bay Cognitive Behavioral Therapy Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 29 Commonwealth Ave Ste 901, Boston, Massachusetts |
| Authorized Official Name and Position | Jolie L. Weingeroff (PROPRIETOR) |
| Authorized Official Contact | 6172790739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back Bay Cognitive Behavioral Therapy Llc 29 Commonwealth Ave Ste 901 Boston MA 02116-2349 Ph: (617) 279-0739 | Back Bay Cognitive Behavioral Therapy Llc 29 Commonwealth Ave Ste 901 Boston MA 02116-2349 Ph: (617) 279-0739 |
| NPI Number | 1568896884 |
|---|---|
| Provider Enumeration Date | 08/22/2013 |
| Last Update Date | 09/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568896884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 9653 (Massachusetts) | Primary |
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