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Individual

DR. VERA ALEJANDRA KLINOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
100 CENTURY DR, WORCESTER, MA 01606-1244
(508) 334-6392
(774) 441-6072
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
11084
MA
103TC0700X
Clinical Psychologist
11084
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110155727A
MA
Enumeration date
08/23/2018
Last updated
11/29/2020
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