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Individual

JOSHUA EAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
43 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 277-8107
Mailing address
43 GARRISON RD, BROOKLINE, MA 02445-4445
(617) 277-8107

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9104
MA
103TC2200X
Clinical Child & Adolescent Psychologist
9104
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/19/2006
Last updated
05/25/2010
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