Individual
DR. MARK JAY KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
11 CHAPEL PL, WELLESLEY, MA 02481-3130
(781) 235-4950
(781) 235-7176
Mailing address
11 CHAPEL PL, WELLESLEY, MA 02481-3130
(781) 235-4950
(781) 235-7176
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5030
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04696
BLUE CROSSBLUE SHIELD
MA
Enumeration date
11/14/2006
Last updated
07/08/2007
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