Individual
DR. JENNIFER E. GISTRAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1180 BEACON ST, SUITE 5C, BROOKLINE, MA 02446-3885
(617) 335-5244
Mailing address
1180 BEACON ST, SUITE 5C, BROOKLINE, MA 02446-3885
(617) 335-5244
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8415
MA
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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