Individual
DR. COLLEEN M BUCCI LIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
867 BOYLSTON ST FL 5, BOSTON, MA 02116-2774
(617) 918-7394
Mailing address
867 BOYLSTON ST FL 5, BOSTON, MA 02116-2774
(617) 918-7394
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11442
MA
Other
Enumeration date
05/31/2018
Last updated
11/29/2023
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