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Dr. Edwin D Boudreaux, PHD
Clinical Psychologist in Worcester, Massachusetts
NPI 1790873768

Edwin D Boudreaux is a Clinical Psychologist based in Boston, MA and is specialized in Clinical. Edwin D Boudreaux practices in Worcester, MA and has the professional credentials of PHD. The NPI Number for Edwin D Boudreaux is 1790873768 and holds a License No. 9227 (Massachusetts).

The current practice location address for Edwin D Boudreaux is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 508-334-3817.

Location: 55 Lake Ave N, Worcester, MA, 02241-5348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790873768
Provider Name
Edwin D Boudreaux
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA, 02241-5348
Phone Number
508-334-3817
Fax Number
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001663773 01 AMERIHEALTH PPO
476594000 01 MAGELLAN
7663465 01 AETNA
3K6039 01 HEALTHNET
42304 01 UNIVERSITY HEALTHPLAN
2321722000 01 AMERIHEALTH HMO, KEYSTONE, IBC
8879800 05 NJ
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-3817
Fax Number
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-3817
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
9227 (Massachusetts)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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