Individual
MICHELLE BOVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 S HUNTINGTON AVE, 116B-4, BOSTON, MA 02130-4817
(857) 364-4123
Mailing address
150 S HUNTINGTON AVE, 116B-4, BOSTON, MA 02130-4817
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
PS01406
RI
261QV0200X
VA Clinic/Center
Primary
PS01406
RI
Other
Enumeration date
07/01/2011
Last updated
05/21/2015
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