Individual
DR. KEVIN T MUNDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
11 GARDEN ST, MEDFORD, MA 02155-3219
(551) 427-3290
Mailing address
11 GARDEN ST, MEDFORD, MA 02155-3219
(551) 427-3290
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11746
NJ
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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