Individual
DR. JENNIFER OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
25 CARLETON ST, CAMBRIDGE, MA 02142-1323
(617) 253-2916
(617) 253-0162
Mailing address
909 SOUTH ST, ROSLINDALE, MA 02131-2411
(413) 519-7725
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10227
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10227
—
MA
Enumeration date
06/11/2019
Last updated
06/11/2019
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