Organization
BACK BAY COGNITIVE BEHAVIORAL THERAPY LLC
Active
Organization
BACK BAY COGNITIVE BEHAVIORAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLIE L. WEINGEROFF PH.D. (PROPRIETOR)
(617) 279-0739
Entity
Organization
Contact information
Practice address
29 COMMONWEALTH AVE STE 901, BOSTON, MA 02116-2349
(617) 279-0739
Mailing address
29 COMMONWEALTH AVE STE 901, BOSTON, MA 02116-2349
(617) 279-0739
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9653
MA
Other
Enumeration date
08/22/2013
Last updated
09/28/2015
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