Individual
DR. PETER FORKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
175 FOREST STREET, COUNSELING CENTER, CALLAHAN BLDG, 2ND FLR, WALTHAM, MA 02452
(781) 891-2274
Mailing address
175 FOREST STREET, COUNSELING CENTER, CALLAHAN BLDG, 2ND FLR, WALTHAM, MA 02452
(781) 891-2274
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9320
MA
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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