Individual
HERMINE MUSKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
1313 WASHINGTON ST APT 521, BOSTON, MA 02118-2170
(617) 877-5722
Mailing address
1313 WASHINGTON ST APT 521, BOSTON, MA 02118-2170
(617) 877-5722
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1597-PY-PR
MA
103TA0700X
Adult Development & Aging Psychologist
1597
MA
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
1597-PY-PR
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115923574
1597-PY-PR
MA
Enumeration date
05/19/2020
Last updated
05/19/2020
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