Individual
DR. KATHRYN DARDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
175 DERBY ST STE 20, HINGHAM, MA 02043-4051
(781) 361-3390
Mailing address
175 DERBY ST STE 20, HINGHAM, MA 02043-4051
(781) 361-3390
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4449
MA
103TH0100X
Health Service Psychologist
Primary
4449
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034137
CIGNA
MA
01
—
6101039
EVERCARE PROVIDER NUMBER
MA
01
—
W04342
BCBS PROVIDER NUMBER
MA
Enumeration date
10/23/2006
Last updated
08/21/2019
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