Individual
MISS KATHERINE M IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 S HUNTINGTON AVE, 116-B, BOSTON, MA 02130-4817
(857) 364-2112
(617) 278-4501
Mailing address
150 S HUNTINGTON AVE, 116-B, BOSTON, MA 02130-4817
(857) 364-2112
(617) 278-4501
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSO 1187
RI
Other
Enumeration date
06/18/2008
Last updated
05/20/2015
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