Individual
DR. CAROLYN CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1218 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138-3835
(617) 441-9888
Mailing address
1218 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138-3835
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8120
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06246
BCBS
MA
Enumeration date
05/08/2007
Last updated
07/08/2007
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