Individual
DR. KATHERINE DELLAPORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
121 MOUNT VERNON ST STE 22, BOSTON, MA 02108-1104
(585) 704-4799
Mailing address
395 MARLBOROUGH ST APT 9, BOSTON, MA 02115-1536
(585) 704-4799
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10092
MA
103TC0700X
Clinical Psychologist
10092
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000930
NHP
MA
05
—
1307592
—
MA
01
—
33-0538634
UNITED BEHAVIORAL HEALTH
MA
01
—
713898
TUFTS HEALTH CARE
MA
01
—
98179101
NETWORK HEALTH
MA
Enumeration date
09/02/2010
Last updated
06/08/2023
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