Individual
JACQUELINE CHASE BUCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1101 BEACON ST, SUITE 7W, BROOKLINE, MA 02446-5587
(617) 738-4814
(617) 278-9040
Mailing address
1101 BEACON ST, SUITE 7W, BROOKLINE, MA 02446-5587
(617) 738-4814
(617) 278-9040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6069
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
725288
TUFTS
—
05
—
MHMA0523011
—
MA
Enumeration date
10/25/2005
Last updated
07/08/2007
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