Active NPIIndividual providerSole proprietor

Dr. Colleen M Bucci Liddy, PHD

Psychologist, Clinical in Boston, Massachusetts

NPI Number1457843054
Practice location
867 Boylston St Fl 5, Boston, MA 02116-2774
Fax
—
Last updated
November 29, 2023

Colleen M Bucci Liddy is a Psychologist, Clinical based in Boston, MA. Colleen M Bucci Liddy practices in Boston, MA and has the professional credentials of PHD. The NPI Number for Colleen M Bucci Liddy is 1457843054 and holds a License No. 11442 (MA). The current practice location address for Colleen M Bucci Liddy is 867 Boylston St Fl 5, Boston, MA 02116-2774 and can be reached out via phone at 617-918-7394.

Provider Profile Details

NPI Number
1457843054
Provider Name
Colleen M Bucci Liddy
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
867 Boylston St Fl 5, Boston, MA 02116-2774
Phone Number
617-918-7394
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 31, 2018
Last Update Date
November 29, 2023
Certification Date
November 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
867 Boylston St Fl 5
Boston, MA 02116-2774
City
Boston
Zip
02116-2774
Phone Number
617-918-7394
Boston, MA 02116Get directions →

Provider Business Mailing Address Details

Address
867 Boylston St Fl 5
Boston, MA 02116-2774
City
Boston
State
MA
Zip
02116-2774
Phone Number
617-918-7394

License Information

License Number
11442
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Colleen M Bucci Liddy, PHD?

The NPI number of Dr. Colleen M Bucci Liddy, PHD is 1457843054. It was assigned on May 31, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Colleen M Bucci Liddy, PHD?

Dr. Colleen M Bucci Liddy, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11442.

Where does Dr. Colleen M Bucci Liddy, PHD practice?

The practice location is 867 Boylston St Fl 5, Boston, MA 02116-2774. The office can be reached at 617-918-7394 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457843054 directly on the NPPES registry website.

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