Carole Ruth Bohn, EDD

Individual provider Active NPI Professional Counselor · Boston, MA

NPI 1003953225 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1003953225
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
3264 (MA)
Practice address
185 Bay State Rd
Boston, MA 02215-1506
Phone
(617) 353-3047
Fax
(617) 353-5539
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3264MAMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3264 MA Yes

Addresses

Primary practice location

185 Bay State Rd
Boston, MA 02215-1506

Mailing address

4 Bigelow Ave
Winchester, MA 01890-3308
Phone (781) 369-4050

Other providers in Boston, MA

All providers in Boston, MA · Professional Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.