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Individual

UMMUL-KIRAM KATHAWALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
73 TREMONT ST, BOSTON, MA 02108-3916
(952) 261-3959
Mailing address
102 MILTON ST, ARLINGTON, MA 02474-8735

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5000465
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/13/2022
Last updated
04/12/2023
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