Organization
AZIMUTH PSYCHOLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA KORETZ PSYD (PARTNER)
(617) 207-4053
Entity
Organization
Contact information
Practice address
875 MASSACHUSETTS AVE, #21, CAMBRIDGE, MA 02139-3067
(617) 207-4053
Mailing address
875 MASSACHUSETTS AVE, #21, CAMBRIDGE, MA 02139-3067
(617) 207-4053
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9574
MA
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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