Individual
DR. JESSICA POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
867 BOYLSTON ST FL 5TH-175, BOSTON, MA 02116-2774
(508) 203-1521
Mailing address
867 BOYLSTON ST FL 5TH-175, BOSTON, MA 02116-2774
(508) 203-1521
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY33753
CA
Other
Enumeration date
06/22/2016
Last updated
07/08/2024
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