Individual
DR. KATHRYN YAMARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.M., PSY.D.
Contact information
Practice address
930 MAIN ST, SUITE 201, ACTON, MA 01720-5885
(978) 264-4003
(978) 264-4003
Mailing address
930 MAIN ST, SUITE 201, ACTON, MA 01720-5885
(978) 264-4003
(978) 264-4003
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7750
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W055594
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/16/2006
Last updated
01/25/2016
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