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Individual

BETSY L KAMMERER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
9 HOPE AVE, WALTHAM, MA 02453-2741
(781) 216-2200
Mailing address
5 CHANNING RD, NEWTON CENTRE, MA 02459-1138
(617) 527-5472

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1724
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1200445
MA
Enumeration date
02/07/2006
Last updated
07/08/2007
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