Individual
DR. JENIFER LIN WALKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
800 WASHINGTON ST, CCSN SUITE 334, BOSTON, MA 02111-1552
(617) 636-6464
Mailing address
800 WASHINGTON ST, CCSN SUITE 334, BOSTON, MA 02111-1552
(617) 636-6464
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
9502
MA
103G00000X
Clinical Neuropsychologist
PS016874
PA
Other
Enumeration date
08/13/2010
Last updated
07/03/2012
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