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Organization

BRIDGE TO HEALING PSYCHOTHERAPY LLC

Active
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Organization

BRIDGE TO HEALING PSYCHOTHERAPY LLC

Active
Other names
Bridge to Healing Psychotherapy
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA BOYKO LICSW (OWNER)
(781) 640-2078
Entity
Organization

Contact information

Practice address
611 MAIN ST STE 302E, WINCHESTER, MA 01890-2051
(781) 640-2078
(781) 723-8566
Mailing address
611 MAIN ST STE 302E, WINCHESTER, MA 01890-2051
(781) 640-2078
(781) 723-8566

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113031
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1437138138
NPI TYPE 1
MA
Enumeration date
06/19/2018
Last updated
06/19/2018
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