Organization
BILLERICA COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA M AGUAYO PH.D. (CLINICAL PSYCHOLOGIST)
(781) 572-4550
Entity
Organization
Contact information
Practice address
572 BOSTON RD, SUITE 14, BILLERICA, MA 01821-3776
(781) 572-4550
Mailing address
572 BOSTON RD, SUITE 14, BILLERICA, MA 01821-3776
(781) 572-4550
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8678
MA
103TC2200X
Clinical Child & Adolescent Psychologist
2402
MA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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