Organization
BOSTON INSTITUTE FOR PSYCHOTHERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCY YUKNAT PSY.D. (INTERIM EXECUTIVE DIRECTOR)
(617) 566-2200
Entity
Organization
Contact information
Practice address
1415 BEACON ST, LOWER LEVEL, BROOKLINE, MA 02446-4816
(617) 566-2200
Mailing address
1415 BEACON ST, LOWER LEVEL, BROOKLINE, MA 02446-4816
(617) 566-2200
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4091
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303996
—
MA
Enumeration date
01/17/2007
Last updated
10/07/2015
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