Individual
DR. JUSTIN LEO ENGGASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
150 S. HUNTINGTON AVENUE, VA BOSTON HEALTHCARE SYSTEM (116B), BOSTON, MA 02130
(774) 826-1380
Mailing address
150 S. HUNTINGTON AVENUE, VA BOSTON HEALTHCARE SYSTEM (116B), BOSTON, MA 02130
(774) 826-1380
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
8807
MA
103TB0200X
Cognitive & Behavioral Psychologist
8807
MA
103TC0700X
Clinical Psychologist
Primary
8807
MA
Other
Enumeration date
08/05/2007
Last updated
01/07/2008
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