Individual
DR. WINFRED J HENTSCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
12 ASH ST, CAMBRIDGE, MA 02138-4832
(617) 497-9027
(617) 497-1244
Mailing address
22 HILLIARD STREET, CAMBRIDGE, MA 02138-4832
(617) 497-9027
(617) 497-1244
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY 7196
MA
103T00000X
Psychologist
Primary
7196
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
7196
MA
103TA0700X
Adult Development & Aging Psychologist
7196
MA
103TB0200X
Cognitive & Behavioral Psychologist
7196
MA
103TC0700X
Clinical Psychologist
7196
MA
103TC1900X
Counseling Psychologist
7196
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
7196
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0526398
MASS HEALTH
MA
01
—
W05763
BCBS
MA
Enumeration date
08/30/2006
Last updated
02/27/2014
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