Individual
DR. NYSSA WITTLIFF BOARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
93 UNION ST, 303 A, NEWTON, MA 02459-2244
(617) 435-5851
Mailing address
424 CENTRE ST, BOSTON, MA 02130-1869
(617) 435-5851
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9325
MA
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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