Individual
BARBARA L NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM, BOSTON, MA 02130-4817
(857) 364-4128
(857) 364-4501
Mailing address
150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM, BOSTON, MA 02130-4817
(857) 364-4128
(857) 364-4501
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6720
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6720
MA
103TB0200X
Cognitive & Behavioral Psychologist
6720
MA
103TC0700X
Clinical Psychologist
Primary
6720
MA
103TH0100X
Health Service Psychologist
6720
MA
Other
Enumeration date
08/09/2006
Last updated
05/21/2015
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