Individual provider · Type 1 NPI

Jeffrey Theodore Boston, PSY.D.

Clinical Psychologist · St. Paul, MN

NPI number 1649394156 Active

Practice location

821 Raymond Ave, Suite 150
St. Paul, MN 55114-1503

Call (651) 642-9741 Map

Mailing address

1821 University Ave W, Ste 155
St. Paul, MN 55104-2880

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP3768 (MN)

Clinical Psychologist: 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 discip…

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About NPI 1649394156

Jeffrey Theodore Boston, PSY.D.'s National Provider Identifier is 1649394156, issued on Mar 19, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in St. Paul, MN. The record was last updated on Feb 26, 2021.