Individual
KATHRYN BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 724-7400
Mailing address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 724-7400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11047
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
05/17/2016
Last updated
11/26/2019
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