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Contact Information

MICHELLE L BOURGEOIS, PhD
150 S HUNTINGTON AVE
BOSTON, MA02130-4817
 Phone: 857-364-6938
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHELLE L BOURGEOIS · (Female)

NPI Number 1235750639
Status Active
Credentials PhD
Entity Individual
Enumeration date 04/27/2020
Last updated 04/27/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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