Dr Michelle Allison Boston, PHD is a
Clinical Neuropsychologist based in Tampa, Florida. Dr Michelle Allison Boston is licensed to practice in Florida (license number PY12060) and her current practice location is
13000 Bruce B Downs Blvd, Tampa, Florida. She can be reached at her office (for appointments etc.) via phone at
(813) 972-2000.
NPI number for Dr Michelle Allison Boston is 1457109902 and her current mailing address is 2401 W Morrison Ave Apt 211, Tampa, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457109902.
Healthcare Provider's Profile
Full Name | Dr Michelle Allison Boston |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 13000 Bruce B Downs Blvd, Tampa, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457109902
- Provider Enumeration Date: 05/09/2024
- Last Update Date: 07/23/2024
Medical Identifiers
Medical identifiers for Dr Michelle Allison Boston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457109902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PY12060 (Florida) | Secondary |
103G00000X | Clinical Neuropsychologist | PY12060 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michelle Allison Boston is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Michelle Allison Boston, PHD 2401 W Morrison Ave Apt 211, Tampa, FL 33629-4756 Ph: (516) 749-0134 | Dr Michelle Allison Boston, PHD 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 Ph: (813) 972-2000 |
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