Healthcare Provider Details

I. General information

NPI: 1326714957
Provider Name (Legal Business Name): JULIA THERESE BOYLE PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S HUNTINGTON AVE 12D GRECC
BOSTON MA
02130-4817
US

IV. Provider business mailing address

150 S HUNTINGTON AVE GRECC
BOSTON MA
02130-4817
US

V. Phone/Fax

Practice location:
  • Phone: 774-826-3451
  • Fax:
Mailing address:
  • Phone: 857-364-2776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number11640
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: