Individual
KATHLEEN ROSE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNCS
Contact information
Practice address
20 HOPE AVE, SUITE G05, WALTHAM, MA 02453-2721
(781) 893-8762
(781) 899-6386
Mailing address
351 MANNING ST, NEEDHAM, MA 02492-3442
(781) 444-1087
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
117767 PC
MA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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