Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Virginia Diane Peisch, MSC

Individual provider Clinical Child & Adolescent Psychologist · NPI 1174187934

MS. Virginia Diane Peisch, MSC is a Clinical Child & Adolescent Psychologist in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2019

Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 11670 (MA)

Record details

NPI number1174187934
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSC
Sole proprietorYes
NPI enumeratedApril 26, 2019
Last updated in NPPESAugust 19, 2022
Certification dateAugust 18, 2022

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