Individual
BALASOUNDHARI BALAGURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON DEPT OF PSYCHIATRY, BOSTON, MA 02115
(617) 919-3212
Mailing address
300 LONGWOOD AVE 120BK LL23, CHILDREN'S HOSPITAL BOSTON DEPT OF PSYCHIATRY CHNP, BOSTON, MA 02115
(617) 919-3212
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
8847
MA
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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