Individual
DR. THIERRY GUEDJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
270 BAYSTATE ROAD, SUITE B30, BOSTON, MA 02215
(617) 353-5381
Mailing address
270 BAYSTATE ROAD, SUITE B30, BOSTON, MA 02215
(617) 353-5381
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8092
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8092
PSYCHOLOGY LICENSE NUMBER
MA
Enumeration date
10/24/2006
Last updated
07/08/2007
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