Alyson Bullock, AMFT
Individual provider Active NPI Marriage & Family Therapist · Watertown, MA
NPI 1245954445 · NPPES record last updated Sep 30, 2022
Key facts
- NPI
- 1245954445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2902 (CT)
- Practice address
- 71 Carroll St
Watertown, MA 02472-3331 - Phone
- (858) 349-0300
- NPI assigned
- Sep 30, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | 2902 | CT | Yes |
Addresses
Primary practice location
71 Carroll St
Watertown, MA 02472-3331
Mailing address
71 Carroll St
Watertown, MA 02472-3331
Phone (858) 349-0300
Other practice location 1
175 Nate Whipple Hwy
Cumberland, RI 02864-1416
Phone (401) 405-0700
Other providers in Watertown, MA
- Lindsey Lee Bryant
- Leslie Anne Bublick
- James Edward Bucciarelli
- Lara Buchanan
- Eleanor A Bueno
- Theresa Jill Burhoe
- Jacqueline Marie Burke
- Emily Burns
- Andrea Button
- William V Byrne
All providers in Watertown, MA · Marriage & Family Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.