Individual provider · Type 1 NPI

Idia Binitie Thurston, PhD

Health Service Psychologist · Boston, MA

NPI number 1932390838 Active

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Call (857) 218-5399 Map

Mailing address

19 Halifax St
Boston, MA 02130-4306

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist 103TC2200X9520 (MA)
Health Service Psychologist Primary 103TH0100X9520 (MA)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1932390838

Idia Binitie Thurston, PhD's National Provider Identifier is 1932390838, issued on Aug 6, 2007. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Boston, MA. The record was last updated on Jun 8, 2012.