Individual
NICOLE JENNIFER LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 BOWDOIN SQ, 6TH FLOOR, BOSTON, MA 02114-2927
(617) 726-2000
Mailing address
1 BOWDOIN SQ, 6TH FLOOR, BOSTON, MA 02114-2927
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11512
MA
Other
Enumeration date
06/22/2016
Last updated
08/23/2021
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