Provider Demographics
NPI:1831655984
Name:HEALTH PSYCHOLOGY ASSOCIATES OF BOSTON
Entity Type:Organization
Organization Name:HEALTH PSYCHOLOGY ASSOCIATES OF BOSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREVE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:617-870-4053
Mailing Address - Street 1:264 BEACON ST FL 5
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-1236
Mailing Address - Country:US
Mailing Address - Phone:617-870-4053
Mailing Address - Fax:617-249-0605
Practice Address - Street 1:264 BEACON ST FL 5
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-1236
Practice Address - Country:US
Practice Address - Phone:617-870-4053
Practice Address - Fax:617-249-0605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty