Lauren B Bolden, PhD
Clinical Neuropsychologist in Boston, MA. Individual provider (NPI-1).
NPI number1992297592
StatusActive
Last updated in NPPESJan 24, 2022
Details
- NPI
- 1992297592
- Entity type
- Individual (NPI-1)
- Name
- Lauren B Bolden
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 31, 2018
- Certification date
- Jan 24, 2022
- Last updated
- Jan 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 11646 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | MA |
Practice location
60 Fenwood Rd Fl 9Boston, MA 02115-6128
Phone 781-416-8657
Mailing address
60 Fenwood Rd Fl 9Boston, MA 02115-6128
Phone 781-416-8657
Other practice locations
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