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Individual

DR. MICHELLE LEE BOURGEOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-6938
Mailing address
18 PERKINS SQ APT 8, JAMAICA PLAIN, MA 02130-1722
(508) 341-4824

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TB0200X
Cognitive & Behavioral Psychologist

Other

Enumeration date
04/27/2020
Last updated
04/27/2020
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