Individual
DR. ALICE NICOLE SCHRUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(817) 371-6202
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(817) 371-6202
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071010042
IL
103TC0700X
Clinical Psychologist
Primary
PSY10000636
MA
208000000X
Pediatrics Physician
283207
MA
Other
Enumeration date
05/29/2019
Last updated
11/13/2024
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