| Organization Name: | THE PSYCHOLOGICAL COLLABORATIVE, LLC |
| NPI Number: | 1164845988 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELISSA BOYD (PSYCHOLOGIST/OWNER) |
| Mailing Address: | 162 Park St Suite 202 North Reading |
| State: | MA US |
| Postal Code: | 018642346 |
| Phone Number: | 7812488608 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2014 |
| NPI Last Update Date: | 01/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 8744 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |