Organization
BOLD PSYCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA SUPELANA PHD (OWNER)
(781) 417-3323
Entity
Organization
Contact information
Practice address
186 ALEWIFE BROOK PKWY # 1080, CAMBRIDGE, MA 02138-1121
(781) 417-3323
Mailing address
186 ALEWIFE BROOK PKWY # 1080, CAMBRIDGE, MA 02138-1121
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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