| Breaking Waves Psychology | |
|
21 Germania St Jamaica Plain MA 02130-2427 | |
| (617) 774-7343 | |
| Not Available |
| Full Name | Breaking Waves Psychology |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 21 Germania St, Jamaica Plain, Massachusetts |
| Authorized Official Name and Position | Juliana Rezende (OWNER) |
| Authorized Official Contact | 6177747343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Waves Psychology 21 Germania St Jamaica Plain MA 02130-2427 Ph: (617) 774-7343 | Breaking Waves Psychology 21 Germania St Jamaica Plain MA 02130-2427 Ph: (617) 774-7343 |
| NPI Number | 1033866405 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 03/07/2022 |
| Certification Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033866405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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