Individual
STEPHANIE JEANNE KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
175 FOREST ST, LACAVA 166, WALTHAM, MA 02452-4713
(617) 455-2585
Mailing address
111 ALDER ST, WALTHAM, MA 02453-0526
(617) 455-2585
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8879
MA
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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