Individual
ERIC G DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 414-1990
(617) 414-1910
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7523
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092135A
—
MA
Enumeration date
07/28/2006
Last updated
12/27/2017
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