Individual
JAYNE G BEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 COMMONWEALTH AVE, BOSTON, MA 02116-2520
(347) 604-1320
Mailing address
202 COMMONWEALTH AVE, BOSTON, MA 02116-2520
(347) 604-1320
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9787-PY-PR
MA
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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