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Individual

KATHERINE KREFFT

Active
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Individual

KATHERINE KREFFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
388
LA
103TC0700X
Clinical Psychologist
Primary
6051
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0520918
MA
01
100589
MBH MAGELLAN BEHL HEALTH
MA
01
W04832
BLUE CROSS
MA
Enumeration date
12/28/2006
Last updated
12/14/2012
Update your record

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