Individual
DR. KATHLEEN HUBBS ULMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 FRUIT ST, YAW 4710A, BOSTON, MA 02114-2621
(617) 724-6700
(617) 724-6725
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3803
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0518395
—
MA
01
—
723413
TUFTS HEALTH PLAN
MA
05
—
W03851
—
MA
Enumeration date
11/21/2005
Last updated
07/09/2007
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