Healthcare Provider Details

I. General information

NPI: 1407766363
Provider Name (Legal Business Name): JOLIE STRAUS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 BOYLSTON ST
BOSTON MA
02116-2639
US

IV. Provider business mailing address

729 BOYLSTON ST
BOSTON MA
02116-2639
US

V. Phone/Fax

Practice location:
  • Phone: 617-800-9610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: