Individual
DR. KATHERINE MARY KALLIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
72 FULTON ST, NORWOOD, MA 02062
(781) 769-4233
Mailing address
72 FULTON ST, NORWOOD, MA 02062-2320
(781) 769-4233
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
5091
MA
103T00000X
Psychologist
5091
MA
103TH0100X
Health Service Psychologist
5091
MA
Other
Enumeration date
07/14/2006
Last updated
07/10/2019
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