| Bold Psych, Llc | |
|
186 Alewife Brook Pkwy # 1080 Cambridge MA 02138-1121 | |
| (781) 417-3323 | |
| Not Available |
| Full Name | Bold Psych, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 186 Alewife Brook Pkwy # 1080, Cambridge, Massachusetts |
| Authorized Official Name and Position | Christina Supelana (OWNER) |
| Authorized Official Contact | 7814173323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bold Psych, Llc 186 Alewife Brook Pkwy # 1080 Cambridge MA 02138-1121 Ph: () - | Bold Psych, Llc 186 Alewife Brook Pkwy # 1080 Cambridge MA 02138-1121 Ph: (781) 417-3323 |
| NPI Number | 1164007340 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164007340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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