Individual
LAUREN B BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
60 FENWOOD RD FL 9, BOSTON, MA 02115-6128
(781) 416-8657
Mailing address
60 FENWOOD RD FL 9, BOSTON, MA 02115-6128
(781) 416-8657
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
11646
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
05/31/2018
Last updated
01/24/2022
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