Individual
DR. SETH ALEXANDRE DOOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
101 CAMBRIDGE ST STE 300, BURLINGTON, MA 01803-3768
(857) 205-3156
Mailing address
101 CAMBRIDGE ST STE 300, BURLINGTON, MA 01803-3768
(857) 205-3156
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
8580
MA
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
8580
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
8580
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0584851
—
MA
01
—
1089420
BEACON HEALTH/FALLON
MA
01
—
11717963
CAQH
MA
01
—
W06582
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/13/2006
Last updated
07/21/2022
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