NPI 1245954445 · live from the CMS NPI Registry
Alyson Bullock, AMFT
Marriage & Family Therapist in Watertown, MA. National Provider Identifier 1245954445, active.
NPI record
| NPI | 1245954445 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 71 Carroll St, Watertown, MA 02472 |
| Practice phone | 858-349-0300 |
| Enumerated | September 30, 2022 |
| Last updated | September 30, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 2902 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.