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Individual

KATHRYN GEISMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D

Contact information

Practice address
175 ELM ST, SUITE C4, SOMERVILLE, MA 02144-3150
(617) 628-1964
Mailing address
175 ELM ST, SUITE C4, SOMERVILLE, MA 02144-3150
(617) 628-1964

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7851
MA

Other

Enumeration date
01/06/2007
Last updated
07/08/2007
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