Individual
DR. OLIVIA EMILY BOGUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 FRUIT STREET, BUL 2, BOSTON, MA 02114-2696
(617) 643-7972
Mailing address
55 FRUIT STREET, BUL 2, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11557
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
09/23/2021
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