Individual
DR. KATHERINE LOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
75 ARLINGTON ST FL 5, BOSTON, MA 02116-3936
(617) 366-2550
(617) 340-3733
Mailing address
8709 BRAY VISTA WAY, ELK GROVE, CA 95624-1713
(617) 366-2550
(617) 340-3733
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10493
MA
103TA0700X
Adult Development & Aging Psychologist
10493
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110119105A
—
MA
Enumeration date
06/22/2016
Last updated
01/09/2023
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