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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