Individual
DR. REBECCA MARCELINA GIMENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
160 COMMONWEALTH AVE STE U3, BOSTON, MA 02116-2749
(617) 353-3047
Mailing address
28 CUMBERLAND ST APT 4, BOSTON, MA 02115-5308
(724) 462-4361
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
11467
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2018
Last updated
08/02/2021
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