Individual
DR. YELENA BOGDANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
150 S HUNTINGTON AVE, PSYCHOLOGY RESEARCH (151-A), BOSTON, MA 02130-4817
(857) 364-2249
Mailing address
150 S HUNTINGTON AVE, PSYCHOLOGY RESEARCH (151-A), BOSTON, MA 02130-4817
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS01193
RI
103TC0700X
Clinical Psychologist
Primary
PS01193
RI
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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