Individual
DR. NICOLE JENNIFER HEGBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-6204
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01730
RI
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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