Individual
KATHERINE KREFFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3193 CRANBERRY HWY, E WAREHAM, MA 02538-4707
(508) 759-3843
Mailing address
51 PACKARD ST, PLYMOUTH, MA 02360-5665
(508) 759-5461
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
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