Provider Demographics
NPI:1255664454
Name:BOJKOVA, ELIANA (PSY D)
Entity Type:Individual
Prefix:
First Name:ELIANA
Middle Name:
Last Name:BOJKOVA
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1957 COMMONWEALTH AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-5923
Mailing Address - Country:US
Mailing Address - Phone:609-356-9834
Mailing Address - Fax:
Practice Address - Street 1:30 WARREN ST
Practice Address - Street 2:FRANCISCAN HOSPITAL FOR CHILDREN
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3602
Practice Address - Country:US
Practice Address - Phone:617-254-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9047103T00000X
NY017786103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist