Jeffrey Theodore Boston PSY.D.

NPI 1649394156 - Psychologist - 103TC0700X

NPI Details
NPI 1649394156
Gender Male
Enumeration Date 03/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
821 RAYMOND AVE
SUITE 150
SAINT PAUL MN, 55114-1503, US
Phone (651) 642-9741
Fax
Business Location
821 RAYMOND AVE
SUITE 150
SAINT PAUL MN, 55114-1503, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number LP3768
Remove 1649394156 NPI Number
 

According to our database, Dr. Jeffrey Theodore Boston PSY.D. NPI is 1649394156, taxonomy code is 103TC0700X and license number is LP3768, license state is located at Minnesota. Jeffrey Theodore Boston PSY.D. physically located at 821 Raymond Ave, Saint Paul MN, 55114-1503. NPI Number Jeffrey Theodore Boston PSY.D. has the Individual type.

Sponsored links

1649394156 NPI number is provided on an as is basis without warranty of any kind. 1649394156 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Theodore Boston PSY.D. are for informational purposes only.